NPIMap

Organization Active NPI

Anesthesia Care Services, PA

  • Certified Registered Nurse Anesthetist
  • Forest, VA
National Provider Identifier
1609833474
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ANESTHESIA CARE SERVICES, PA
Practice address
1834 Graves Mill Road
Forest, VA 24551
Phone
(888) 447-7220
Fax
(336) 884-1643
NPI assigned
Apr 27, 2006
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Shanna Stoter, CRNANPI 1205818564
Title
Owner
Phone
(336) 821-4171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

1834 Graves Mill Road
Forest, VA 24551

Mailing address

PO Box 16068
High Point, NC 27261-6068
Phone (888) 447-7220

Other practice location 1

10500 Antenucci Blvd
Garfield Heighs, OH 44125
Phone (440) 891-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, GA, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20051205000389 VA Part B Supplier - Clinic/Group Practice 7012937105 Receives reassigned benefits from 19 practitioners
Practice locations: Forrest, VA
O20090813000373 NC Part B Supplier - Clinic/Group Practice 7012937105 Receives reassigned benefits from 203 practitioners
Practice locations: Hope Mills, NC; Jacksonville, NC; Kernersville, NC; Kinston, NC; Lumberton, NC; Pembroke, NC; Raleigh, NC; Roanoke Rapids, NC…
O20151103001846 GA Part B Supplier - Clinic/Group Practice 7012937105 Receives reassigned benefits from 34 practitioners
Practice locations: Athens, GA
O20160627002393 SC Part B Supplier - Clinic/Group Practice 7012937105 Receives reassigned benefits from 8 practitioners
Practice locations: Charleston, SC; Murrells Inlet, SC

National Provider Directory

National Provider Directory

Locations

1500 Oglethorpe Ave
Ste 2000
Athens, GA 30606
Phone (706) 548-5488

5010 Regency Pl
Ste 202
White Plains, MD 20695
Phone (301) 645-1523

1120 SE Cary Pkwy
Ste 204A
Cary, NC 27518
Phone (919) 854-0041

1314 Medical Dr
Ste 120
Fayetteville, NC 28304
Phone (910) 728-4410

127 Riverview St
Franklin, NC 28734
Phone (828) 349-3636

1004 Procure St
#200
Fuquay Varina, NC 27526
Phone (919) 557-4759

1011 N Lindsay St
High Point, NC 27262
Phone (336) 886-1667

3735 Admiral Dr
Ste 111
High Point, NC 27265
Phone (336) 821-4180

3755 Admiral Dr
Ste 111
High Point, NC 27265

951 Rockford St
Ste A
Mount Airy, NC 27030
Phone (223) 719-7993

Practitioners & affiliated clinicians

Practitioners 283

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 283

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": "1581292800000",
    "number": "1609833474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16068",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272616068",
            "telephone_number": "888-447-7220",
            "fax_number": "336-884-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 GRAVES MILL ROAD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "888-447-7220",
            "fax_number": "336-884-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10500 Antenucci Blvd",
            "address_purpose": "LOCATION",
            "city": "Garfield Heighs",
            "state": "OH",
            "postal_code": "44125",
            "country_code": "US",
            "telephone_number": "440-891-6500",
            "fax_number": "440-891-1196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANESTHESIA CARE SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "STOTER",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-821-4171",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.