NPIMap

Organization Active NPI

Southern Anesthetics, PLLC

  • Anesthesiology Physician
  • Beaumont, TX
National Provider Identifier
1821225475
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SOUTHERN ANESTHETICS, PLLC
Practice address
755 North 11TH Street
P2280
Beaumont, TX 77702-1525
Phone
(409) 892-4600
Fax
(409) 892-4605
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Craig Anthony Charleston, M.D.
Title
Partner
Phone
(409) 892-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

755 North 11TH Street
P2280
Beaumont, TX 77702-1525

Mailing address

755 North 11TH Street
P2280
Beaumont, TX 77702-1525
Phone (409) 892-4600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1821225475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NORTH 11TH STREET",
            "address_2": "P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021525",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NORTH 11TH STREET",
            "address_2": "P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021525",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ANESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "CHARLESTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "409-892-4600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.