NPIMap

Organization Active NPI

Anesthesiology Consultants of the Shoals

  • Anesthesiology Physician
  • Florence, AL
National Provider Identifier
1396794582
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIOLOGY CONSULTANTS OF THE SHOALS
Practice address
1701 Veterans Dr
Florence, AL 35630-4928
Phone
(256) 764-9697
Fax
(256) 764-9699
NPI assigned
May 8, 2006
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Jennie Delashaw
Title
Manager
Phone
(256) 764-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1701 Veterans Dr
Florence, AL 35630-4928

Mailing address

PO Box 757
Florence, AL 35631-0757
Phone (256) 764-9697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000077 AL Part B Supplier - Clinic/Group Practice 7719894526 Receives reassigned benefits from 8 practitioners
Practice locations: Florence, AL; Muscle Shoals, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1396794582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310757",
            "telephone_number": "256-764-9697",
            "fax_number": "256-764-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 VETERANS DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304928",
            "telephone_number": "256-764-9697",
            "fax_number": "256-764-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGY CONSULTANTS OF THE SHOALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "DELASHAW",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-764-9697"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.