NPIMap

Organization Active NPI

York County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Rock Hill, SC
National Provider Identifier
1487974606
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
YORK COUNTY ANESTHESIA ASSOCIATES LLC
Practice address
164 Glenwood Dr
Rock Hill, SC 29732-2865
Phone
(803) 324-7607
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Authorized official

Name
Cutler Averbuch
Title
President, Board of Managers
Phone
(615) 843-4033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

164 Glenwood Dr
Rock Hill, SC 29732-2865

Mailing address

6094 14TH St W
#133
Bradenton, FL 34207-4104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000500 SC Part B Supplier - Clinic/Group Practice 1850586355 Receives reassigned benefits from 28 practitioners
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

6094 14th St W
#133
Bradenton, FL 34207

Practitioners & affiliated clinicians

Practitioners 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1487974606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 14TH ST W",
            "address_2": "#133",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GLENWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322865",
            "telephone_number": "803-324-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK COUNTY ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "AVERBUCH",
        "authorized_official_first_name": "CUTLER",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-843-4033"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.