NPIMap

Organization Active NPI

Nash Anesthesia Associates, PA

  • Anesthesiology Physician
  • Rocky Mount, NC
National Provider Identifier
1528025145
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
39647 Issued in NC
Legal business name
NASH ANESTHESIA ASSOCIATES, PA
Practice address
3709 Westridge Circle Dr
Rocky Mount, NC 27804-3335
Phone
(252) 443-2125
Fax
(252) 937-2508
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Kim E Johnson, M.D.
Title
President
Phone
(252) 443-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 39647 NC Primary

Addresses

Primary practice location

3709 Westridge Circle Dr
Rocky Mount, NC 27804-3335

Mailing address

3709 Westridge Circle Dr
Rocky Mount, NC 27804-3335
Phone (252) 443-2125

Other identifiers 2

IdentifierTypeStateIssuer
02273OtherNCNCBCBS
8902273MedicaidNC

National Provider Directory

National Provider Directory

Locations

3709 Westridge Circle Dr
Rocky Mount, NC 27804
Phone (252) 443-2125

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1528025145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 WESTRIDGE CIRCLE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043335",
            "telephone_number": "252-443-2125",
            "fax_number": "252-937-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 WESTRIDGE CIRCLE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043335",
            "telephone_number": "252-443-2125",
            "fax_number": "252-937-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH ANESTHESIA ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-443-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "39647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "02273",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902273",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.