NPIMap

Organization Active NPI

Professional Anesthesia Service,Inc.

  • Anesthesiology Physician
  • Charleston, WV
National Provider Identifier
1720035827
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18176 Issued in WV
Legal business name
PROFESSIONAL ANESTHESIA SERVICE,INC.
Practice address
110 Roane St
Charleston, WV 25302-2334
Phone
(304) 344-0096
Fax
(304) 342-4725
NPI assigned
May 27, 2006
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Dr. Srinivas H, Murthy, M.D.NPI 1235189424
Title
M.D.
Phone
(304) 344-0096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 18176 WV Primary

Addresses

Primary practice location

110 Roane St
Charleston, WV 25302-2334

Mailing address

PO Box 1506
Charleston, WV 25325-1506
Phone (304) 344-0096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000731 WV Part B Supplier - Clinic/Group Practice 2769387190 Receives reassigned benefits from 91 practitioners
Practice locations: Charleston, WV; Madison, WV; South Charleston, WV

National Provider Directory

National Provider Directory

Locations

110 Roane St
Charleston, WV 25302
Phone (304) 344-0096

331 Laidley St
Ste 606
Charleston, WV 25301
Phone (304) 344-0096

Practitioners & affiliated clinicians

Practitioners 191

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 191

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1720035827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253251506",
            "telephone_number": "304-344-0096",
            "fax_number": "304-342-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROANE ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022334",
            "telephone_number": "304-344-0096",
            "fax_number": "304-342-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA SERVICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "MURTHY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "H,",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "304-344-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "18176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.