NPIMap

Organization Active NPI

Grey Fox Anesthesia, P.a.

  • Specialist
  • Fayetteville, AR
National Provider Identifier
1659324606
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MC-2260 Issued in AR
Legal business name
GREY FOX ANESTHESIA, P.A.
Practice address
3396 N Futrall Dr
Suite 1
Fayetteville, AR 72703-4057
Phone
(479) 582-1938
Fax
(479) 582-0484
NPI assigned
May 19, 2006
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Sandra L Stolzy, M.D.NPI 1710930128
Title
Owner
Phone
(479) 582-1938

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
Specialist 174400000X MC-2260 AR Primary

Addresses

Primary practice location

3396 N Futrall Dr
Suite 1
Fayetteville, AR 72703-4057

Mailing address

PO Box 9477
Fayetteville, AR 72703-0025
Phone (479) 582-1938

Other identifiers 1

IdentifierTypeStateIssuer
149447002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1659324606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9477",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030025",
            "telephone_number": "479-582-1938",
            "fax_number": "479-587-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3396 N FUTRALL DR",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-582-1938",
            "fax_number": "479-582-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY FOX ANESTHESIA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "STOLZY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-582-1938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "MC-2260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149447002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.