Active NPI
RDF Anesthesia
- Anesthesiology Physician
- Winston Salem, NC
National Provider Identifier
1538570734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34295
- Legal business name
- RDF ANESTHESIA
- Practice address
- 2927 Lyndhurst Ave
Winston Salem, NC 27103-4005 - Phone
- (336) 718-8278
- Fax
- (336) 718-9271
- NPI assigned
- May 11, 2014
- Last updated
- May 11, 2014
- 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
- Robert D'Angelo, M.D.
- Title
- Owner
- Phone
- (336) 778-2214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34295 | NC | Primary |
Addresses
Primary practice location
2927 Lyndhurst Ave
Winston Salem, NC 27103-4005
Mailing address
147 Montauk CT
Clemmons, NC 27012-8661
Phone (336) 718-8278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7926835 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399766400000",
"number": "1538570734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 MONTAUK CT",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128661",
"telephone_number": "336-718-8278",
"fax_number": "336-718-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2927 LYNDHURST AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034005",
"telephone_number": "336-718-8278",
"fax_number": "336-718-9271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RDF ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-11",
"last_updated": "2014-05-11",
"status": "A",
"authorized_official_last_name": "D'ANGELO",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-778-2214",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "34295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7926835",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.