Carolina Bays Anesthesia, P.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

33076 Issued in NC

Legal business name

CAROLINA BAYS ANESTHESIA, P.C.

Practice address

4901 Dawn Dr
Suite 1100
Lumberton, NC 28360-8207

Phone

(910) 887-2361

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael G Kidd, MD

Title

President

Phone

(910) 527-5630

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1699179903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2370",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283592370",
            "telephone_number": "910-527-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR",
            "address_2": "SUITE 1100",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608207",
            "telephone_number": "910-887-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BAYS ANESTHESIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-527-5630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "33076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Eye Care Professionals, PA
• Carolina Eye Care Professionals,PA

• Anesthesiology Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.