NPIMap

Organization Active NPI

Kanayochukwu J. Anya MD Facs, PLLC

Doing business as Anya Bariatrics & Aesthetics

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1689102022
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N9800 Issued in TX
Legal business name
KANAYOCHUKWU J. ANYA MD FACS, PLLC
Doing business as
Anya Bariatrics & Aesthetics
Practice address
6100 Harris Pkwy Ste 380
Fort Worth, TX 76132-4128
Phone
(817) 759-9008
Fax
(844) 583-5414
NPI assigned
May 30, 2017
Last updated
Aug 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
Dr. Kanayochukwu Kanny Jacquelyne Anya, MD FACSNPI 1821278151
Title
Chief Executive Officer
Phone
(817) 759-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N9800 TX Primary

Addresses

Primary practice location

6100 Harris Pkwy Ste 380
Fort Worth, TX 76132-4128

Mailing address

6100 Harris Parkway
380
Fort Worth, TX 76132
Phone (817) 759-9008

Other names 1

  • ANYA BARIATRICS & AESTHETICS Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1689102022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PARKWAY",
            "address_2": "380",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-759-9008",
            "fax_number": "844-583-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 380",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324128",
            "telephone_number": "817-759-9008",
            "fax_number": "844-583-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAYOCHUKWU J. ANYA MD FACS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "ANYA",
        "authorized_official_first_name": "KANAYOCHUKWU KANNY",
        "authorized_official_middle_name": "JACQUELYNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-759-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N9800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANYA BARIATRICS & AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.