Watauga Anesthesia Associates, PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WATAUGA ANESTHESIA ASSOCIATES, PA

Practice address

719A Greenway Road
Suite 100
Boone, NC 28607-2270

Phone

(828) 264-4691

Fax

(828) 265-4288

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Michal E Douglas

Title

Partner

Phone

(828) 264-4691

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1205949732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2270",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286072270",
            "telephone_number": "828-264-4691",
            "fax_number": "828-265-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719A GREENWAY ROAD",
            "address_2": "SUITE 100",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286072270",
            "telephone_number": "828-264-4691",
            "fax_number": "828-265-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA ANESTHESIA ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "828-264-4691"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902919",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Annette Ward, LCSW
• Kathryn Warner, LCSWA
• Blaire Elizabeth Warren, DDS
• Ginger Parrish Warren, APRN, FNP-BC, DNP
• Kathryn Warren, LCAS
• Watauga County Board of Education
• Watauga County Department of Social Services
• Watauga Eye Center, PA
• Watauga Medical Center Inc
• Watauga Medical Center Inc

• Anesthesiology Physician in Boone, NC
• Providers in Boone, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.