NPIMap

Organization Active NPI

Sylacauga Anesthesia PC

  • Anesthesiology Physician
  • Sylacauga, AL
National Provider Identifier
1700843869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01924 Issued in AL
Legal business name
SYLACAUGA ANESTHESIA PC
Practice address
315 West Hickory St
Sylacauga, AL 35150
Phone
(256) 249-5000
NPI assigned
May 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Gene N Gordon, MD
Title
President
Phone
(205) 427-4976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01924 AL Primary

Addresses

Primary practice location

315 West Hickory St
Sylacauga, AL 35150

Mailing address

PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001390 AL Part B Supplier - Clinic/Group Practice 9234021619 Receives reassigned benefits from 12 practitioners
Practice locations: Sylacauga, AL

National Provider Directory

National Provider Directory

Locations

44 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 404-5321

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700843869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "334-386-2051",
            "fax_number": "334-396-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WEST HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "35150",
            "telephone_number": "256-249-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLACAUGA ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-427-4976",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "01924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.