NPIMap

Organization Active NPI

Burlington Anesthesia PA

  • Anesthesiology Physician
  • Burlington, NC
National Provider Identifier
1538148754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BURLINGTON ANESTHESIA PA
Practice address
1236 Huffman Mill Rd
Burlington, NC 27215-8700
Phone
(336) 585-1770
Fax
(336) 585-1771
NPI assigned
Jan 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Paul J Carroll, MDNPI 1073592200
Title
Pres
Phone
(336) 585-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NC Primary
Certified Registered Nurse Anesthetist 367500000X NC

Addresses

Primary practice location

1236 Huffman Mill Rd
Burlington, NC 27215-8700

Mailing address

PO Box 1832
Burlington, NC 27216-1832
Phone (706) 860-2701

Other identifiers 3

IdentifierTypeStateIssuer
8000236MedicaidNC
89011998MedicaidNC
QPA089MedicaidSC

National Provider Directory

National Provider Directory

Locations

1214 Vaughn Rd
#C
Burlington, NC 27217
Phone (336) 585-1812

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538148754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272161832",
            "telephone_number": "706-860-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 HUFFMAN MILL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-585-1770",
            "fax_number": "336-585-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "336-585-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000236",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011998",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QPA089",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.