Organization Active NPI

Latham Anesthesiology PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Latham, NY
National Provider Identifier
1184997488
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
238532 Issued in NY
Legal business name
LATHAM ANESTHESIOLOGY PLLC
Practice address
1072 Troy Schenectady Rd
Suite 303
Latham, NY 12110-1025
Phone
(518) 713-4484
Fax
(518) 713-4486
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul S Soccio, MD
Title
Owner
Phone
(518) 713-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 238532 NY Primary

Addresses

Primary practice location

1072 Troy Schenectady Rd
Suite 303
Latham, NY 12110-1025

Mailing address

13 Century Hill Dr
Latham, NY 12110-2113
Phone (518) 713-4484

Other identifiers 1

IdentifierTypeStateIssuer
02780918MedicaidNY

National Provider Directory

National Provider Directory

Locations

13 Century Hill Dr
#2
Latham, NY 12110
Phone (518) 713-4484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1184997488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102113",
            "telephone_number": "518-713-4484",
            "fax_number": "518-713-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 TROY SCHENECTADY RD",
            "address_2": "SUITE 303",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101025",
            "telephone_number": "518-713-4484",
            "fax_number": "518-713-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHAM ANESTHESIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "SOCCIO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-713-4484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "238532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02780918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.