Organization Active NPI

Sheridan Anesthesia Healthcare of North Carolina, P.C.

  • Anesthesiology Physician
  • Rutherfordton, NC
National Provider Identifier
1497291405
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SHERIDAN ANESTHESIA HEALTHCARE OF NORTH CAROLINA, P.C.
Practice address
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone
(828) 286-5000
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Katheen Kondas
Title
Officer
Phone
(954) 838-2371

Specialties & licenses 1

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

Addresses

Primary practice location

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838

Mailing address

PO Box 743835
Dept 10076
Atlanta, GA 30374-3835

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1497291405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743835",
            "address_2": "DEPT 10076",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S RIDGECREST AVE",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392838",
            "telephone_number": "828-286-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN ANESTHESIA HEALTHCARE OF NORTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.