NPIMap

Organization Active NPI

General Anesthesia Services Inc

  • Anesthesiology Physician
  • Charleston, WV
National Provider Identifier
1811997869
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GENERAL ANESTHESIA SERVICES INC
Practice address
3508 Staunton Ave SE
Charleston, WV 25304-1477
Phone
(304) 925-4086
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Timothy Nelson, M.D.NPI 1457351728
Title
President
Phone
(304) 925-4086

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X WV Primary

Addresses

Primary practice location

3508 Staunton Ave SE
Charleston, WV 25304-1477

Mailing address

PO Box 3444
Charleston, WV 25334-3444
Phone (304) 925-5486

Other identifiers 1

IdentifierTypeStateIssuer
0011830000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715001137 WV Part B Supplier - Clinic/Group Practice 0446239289 Receives reassigned benefits from 40 practitioners
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 129

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

View all 129

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811997869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3444",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253343444",
            "telephone_number": "304-925-5486",
            "fax_number": "304-925-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 STAUNTON AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041477",
            "telephone_number": "304-925-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-925-4086",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011830000",
            "state": "WV"
        }
    ],
    "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 Jul 21, 2022; 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.