Individual provider Active NPI

James Arthur Florack, MD

  • Anesthesiology Physician
  • Clemmons, NC
National Provider Identifier
1235107616
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9400491 Issued in NC
Practice address
3546 Tanglebrook TRL
Clemmons, NC 27012-8502
Phone
(336) 413-3121
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9400491 NC Primary

Addresses

Primary practice location

3546 Tanglebrook TRL
Clemmons, NC 27012-8502

Mailing address

3546 Tanglebrook TRL
Clemmons, NC 27012-8502
Phone (336) 413-3121

Other identifiers 1

IdentifierTypeStateIssuer
5900101MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9400491NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Anesthesia and Pain Management PA Anesthesiology Past Accepting new patients
Norton Anesthesia Services Anesthesiology Past Accepting new patients
Anesthesia Care Enterprises, LLC Anesthesiology Past Accepting new patients
Anesthetix of Lexington, PLLC Anesthesiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1235107616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 TANGLEBROOK TRL",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128502",
            "telephone_number": "336-413-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 TANGLEBROOK TRL",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128502",
            "telephone_number": "336-413-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORACK",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9400491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900101",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.