NPIMap

Organization Active NPI

GR8 Foxx Anesthesia, LTD.

  • Anesthesiology Physician
  • Fayetteville, AR
National Provider Identifier
1740509140
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GR8 FOXX ANESTHESIA, LTD.
Practice address
3396 N Futrall Dr
Ste. 1
Fayetteville, AR 72703-4057
Phone
(479) 582-1938
Fax
(479) 587-0484
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Walton Wayne Grote, M.D.
Title
President
Phone
(479) 582-1938

Specialties & licenses 1

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

Addresses

Primary practice location

3396 N Futrall Dr
Ste. 1
Fayetteville, AR 72703-4057

Mailing address

3396 N Futrall Dr
Ste. 1
Fayetteville, AR 72703-4057
Phone (479) 582-1938

National Provider Directory

National Provider Directory

Locations

3396 N Futrall Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 582-1938

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1740509140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3396 N FUTRALL DR",
            "address_2": "STE. 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-582-1938",
            "fax_number": "479-587-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3396 N FUTRALL DR",
            "address_2": "STE. 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-582-1938",
            "fax_number": "479-587-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GR8 FOXX ANESTHESIA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "GROTE",
        "authorized_official_first_name": "WALTON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-582-1938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.