Ensphere Resources, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ENSPHERE RESOURCES, LLC

Practice address

3200 Riverside Dr
Suite B275
Macon, GA 31210-2550

Phone

(478) 787-9153

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Mr. William Agudelo

Title

Ownder

Phone

(478) 787-9153

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1821423112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LAKEVIEW PL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312116127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RIVERSIDE DR",
            "address_2": "SUITE B275",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102550",
            "telephone_number": "478-787-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSPHERE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "AGUDELO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "478-787-9153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.