Active NPI
Russell Alan Cheaney, MD
- Anesthesiology Physician
- Sarasota, FL
National Provider Identifier
1366496457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME138842
- Practice address
- 3333 Cattlemen Rd Ste 100
Sarasota, FL 34232-6057 - Phone
- (941) 379-5884
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 29897 | NC | |
| Anesthesiology Physician | 207L00000X | ME138842 | FL | Primary |
Addresses
Primary practice location
3333 Cattlemen Rd Ste 100
Sarasota, FL 34232-6057
Mailing address
PO Box 890561
Charlotte, NC 28289-0561
Phone (800) 919-1190
Other practice location 1
201 E Grover St
Shelby, NC 28150-3917
Phone (704) 487-3000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22112 | Other | NC | BCBSNC |
| N29897 | Medicaid | SC | |
| 8922112 | Medicaid | NC | |
| 1141346001 | Other | NC | CIGNA |
| 4597856 | Other | NC | AETNA |
| 80413 | Other | NC | MEDCOST |
| 050032552 | Other | NC | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29897 | NC | MD | Pain Medicine (Anesthesiology) Physician |
| 29897 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Anesthesiology Associates PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Shelby, NC
- NPI 1023069291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1366496457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890561",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282890561",
"telephone_number": "800-919-1190",
"fax_number": "706-737-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CATTLEMEN RD STE 100",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326057",
"telephone_number": "941-379-5884"
}
],
"practiceLocations": [
{
"address_1": "201 E Grover St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281503917",
"country_code": "US",
"telephone_number": "704-487-3000",
"fax_number": "704-476-7416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEANEY",
"first_name": "RUSSELL",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "29897",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME138842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "22112",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N29897",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8922112",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1141346001",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4597856",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "80413",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050032552",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.