Southern Tier Anesthesiologists PC

Organization Active NPI Anesthesiology Physician · Olean, NY

NPI 1831297076 · NPPES record last updated Apr 20, 2010

Key facts

NPI
1831297076
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
SOUTHERN TIER ANESTHESIOLOGISTS PC
Practice address
515 Main St
Olean, NY 14760-1513
Phone
(716) 372-0223
Fax
(716) 373-7191
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

Name
Stephen D Carlson, M.D.
Title
President
Phone
(716) 372-0223

Practitioners 15

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

National Provider Directory

Locations

202 N Barry St
Olean, NY 14760
Phone (716) 372-0223

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

515 Main St
Olean, NY 14760-1513

Mailing address

202 N Barry St
Olean, NY 14760-2723
Phone (716) 372-0223

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 20, 2010.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1831297076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N BARRY ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602723",
            "telephone_number": "716-372-0223",
            "fax_number": "716-373-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601513",
            "telephone_number": "716-372-0223",
            "fax_number": "716-373-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER ANESTHESIOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-372-0223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

All providers in Olean, NY · Anesthesiology Physician in New York

Sources for this page

Verify at the official NPI Registry.