NPIMap

Organization Active NPI

Bluefield Anesthesia Associates Inc

  • Anesthesiology Physician
  • Bluefield, WV
National Provider Identifier
1376636571
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
00329 Issued in WV
Legal business name
BLUEFIELD ANESTHESIA ASSOCIATES INC
Practice address
324 North St
Suite 2
Bluefield, WV 24701-4038
Phone
(304) 327-3408
Fax
(304) 324-7967
NPI assigned
Oct 2, 2006
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Thomas Mathew, M.D.NPI 1003827403
Title
President
Phone
(304) 327-3408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00329 WV Primary

Addresses

Primary practice location

324 North St
Suite 2
Bluefield, WV 24701-4038

Mailing address

324 North St
Suite 2
Bluefield, WV 24701-4038
Phone (304) 327-3408

Other identifiers 1

IdentifierTypeStateIssuer
3810005826MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1376636571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 NORTH ST",
            "address_2": "SUITE 2",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014038",
            "telephone_number": "304-327-3408",
            "fax_number": "304-324-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NORTH ST",
            "address_2": "SUITE 2",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014038",
            "telephone_number": "304-327-3408",
            "fax_number": "304-324-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIELD ANESTHESIA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-327-3408",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "00329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005826",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.