Active NPI
Liberty Anesthesia, PLLC
- Anesthesiology Physician
- Southern Pines, NC
National Provider Identifier
1407390792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 156084
- Legal business name
- LIBERTY ANESTHESIA, PLLC
- Practice address
- 695 S Bennett St
Southern Pines, NC 28387-5919 - Phone
- (910) 687-6187
- NPI assigned
- Dec 6, 2016
- Last updated
- Mar 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Edward Taylor II, M.D.
- Title
- Ceo
- Phone
- (910) 687-6187
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 156084 | NC | Primary |
Addresses
Primary practice location
695 S Bennett St
Southern Pines, NC 28387-5919
Mailing address
695 S Bennett St
Southern Pines, NC 28387-5919
Phone (910) 687-6187
National Provider Directory
National Provider DirectoryLocations
1314 Medical Dr
Fayetteville, NC 28304
Phone (910) 728-4410
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Pinehurst, NC
- NPI 1417990094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1407390792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 S BENNETT ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875919",
"telephone_number": "910-687-6187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 S BENNETT ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875919",
"telephone_number": "910-687-6187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY ANESTHESIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-06",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-687-6187",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "156084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
- Legacy Healthcare Services, Inc (Legacy Healthcare at Southern Pines)
- Alice Brooke Leis, PT
- Joy Marie Lemieux, MA LPC
- Angela Somers Leonard, MS CCC SLP
- Jenny Lewellen Vaz, DPT, CPT
- Liberty Healthcare Group, LLC (Liberty Home Care II, LLC)
- Liberty Healthcare Group, LLC (Liberty Home Care II, LLC)
- Liberty Nursing Services II, LLC (Liberty Nursing Services)
- Life Wellness Counseling PLLC
- Lindsey Foreman Health Solutions PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.