Active NPI
Victor J Aranda, MD
- Anesthesiology Physician
- Waycross, GA
National Provider Identifier
1669445664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 050781
- Practice address
- 410 Darling Ave
Waycross, GA 31501-5246 - Phone
- (912) 338-6511
- Fax
- (336) 553-3994
- NPI assigned
- Feb 9, 2006
- Last updated
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 050781 | GA | Primary |
Addresses
Primary practice location
410 Darling Ave
Waycross, GA 31501-5246
Mailing address
PO Box 18824
Greensboro, NC 27419-8824
Phone (336) 553-1659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00352154 | Other | GA | RR MEDICARE INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050781 | GA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1669445664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18824",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274198824",
"telephone_number": "336-553-1659",
"fax_number": "336-553-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 DARLING AVE",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315015246",
"telephone_number": "912-338-6511",
"fax_number": "336-553-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARANDA",
"first_name": "VICTOR",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "050781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "P00352154",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.