Organization Active NPI

North Carolina Anesthesiology

  • Anesthesiology Physician
  • Wadesboro, NC
National Provider Identifier
1679628580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTH CAROLINA ANESTHESIOLOGY
Practice address
500 Morven Rd
Wadesboro, NC 28170-2745
Phone
(843) 651-2624
Fax
(843) 357-4940
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael T Mitchell
Title
Business Manager
Phone
(843) 651-2624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

500 Morven Rd
Wadesboro, NC 28170-2745

Mailing address

2910 Selwyn Ave # 157
Charlotte, NC 28209-1762
Phone (843) 651-2624

National Provider Directory

National Provider Directory

Locations

2910 Selwyn Ave
#157
Charlotte, NC 28209

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679628580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SELWYN AVE # 157",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091762",
            "telephone_number": "843-651-2624",
            "fax_number": "843-357-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MORVEN RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702745",
            "telephone_number": "843-651-2624",
            "fax_number": "843-357-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA ANESTHESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "843-651-2624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.