Organization Active NPI

Supreme Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Garner, NC
National Provider Identifier
1225498629
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
173966 Issued in NC
Legal business name
SUPREME ANESTHESIA SERVICES
Practice address
132 Breckenridge Dr
Garner, NC 27529-7524
Phone
(919) 621-3751
NPI assigned
Feb 26, 2016
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Varnar D SpencerNPI 1588762033
Title
Ceo
Phone
(919) 621-3751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 173966 NC Primary

Addresses

Primary practice location

132 Breckenridge Dr
Garner, NC 27529-7524

Mailing address

132 Breckenridge Dr
Garner, NC 27529-7524
Phone (919) 621-3751

National Provider Directory

National Provider Directory
Tax ID family
Supreme Anesthesia Care Servicesllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1225498629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BRECKENRIDGE DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297524",
            "telephone_number": "919-621-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BRECKENRIDGE DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297524",
            "telephone_number": "919-621-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "VARNAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-621-3751"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "173966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.