NPIMap

Organization Active NPI

Medstream of Virginia, LLC

  • Anesthesiology Physician
  • Asheville, NC
National Provider Identifier
1770839201
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEDSTREAM OF VIRGINIA, LLC
Practice address
82 Patton Ave
Suite 510
Asheville, NC 28801-3319
Phone
(828) 210-9386
Fax
(828) 210-9388
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Kenneth Ellington
Title
President
Phone
(828) 210-9386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

82 Patton Ave
Suite 510
Asheville, NC 28801-3319

Mailing address

82 Patton Ave
Suite 510
Asheville, NC 28801-3319
Phone (828) 210-9386

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1770839201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PATTON AVE",
            "address_2": "SUITE 510",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013319",
            "telephone_number": "828-210-9386",
            "fax_number": "828-210-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PATTON AVE",
            "address_2": "SUITE 510",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013319",
            "telephone_number": "828-210-9386",
            "fax_number": "828-210-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTREAM OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-210-9386"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.