Excel Anesthesia Consultants PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

EXCEL ANESTHESIA CONSULTANTS PLLC

Practice address

102 Northside Park
Elizabeth Cty, NC 27909-9337

Phone

(917) 685-1055

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Pravin Potluru

Title

President

Phone

(917) 685-1055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Sue, M.D.

  • Gastroenterology Physician
  • Elizabeth City, NC
  • NPI 1548245806
  NPD

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1407247463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 GREENS EDGE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228078",
            "telephone_number": "917-685-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORTHSIDE PARK",
            "city": "ELIZABETH CTY",
            "state": "NC",
            "postal_code": "279099337",
            "telephone_number": "917-685-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL ANESTHESIA CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "POTLURU",
        "authorized_official_first_name": "PRAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-685-1055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Ann Combs
• William Jared Hobbs, PA-C
• Melvin G Kimble
• Vertex South LLC

• Anesthesiology Physician in Elizabeth Cty, NC
• Providers in Elizabeth Cty, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.