NPIMap

Organization Active NPI

Carolina Anesthesiology Associates PA

  • Anesthesiology Physician
  • Columbia, SC
National Provider Identifier
1851486781
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CAROLINA ANESTHESIOLOGY ASSOCIATES PA
Practice address
240 Stoneridge Dr
Suite 304
Columbia, SC 29210-8013
Phone
(803) 708-8126
Fax
(803) 708-1370
NPI assigned
Oct 4, 2006
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Brittney Shanholtzer
Title
Credentialing
Phone
(240) 566-1639

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU

Addresses

Primary practice location

240 Stoneridge Dr
Suite 304
Columbia, SC 29210-8013

Mailing address

PO Box 3387
Frederick, MD 21705-3387
Phone (888) 276-1910

Other identifiers 4

IdentifierTypeStateIssuer
PA0365OtherSCSELECT HEALTH
154754700OtherSCUS DEPARTMENT OF LABOR
PA0365MedicaidSC
CM1538OtherSCRR MEDICARE

Other names 1

  • Critical Health Systems of South Carolina, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

240 Stoneridge Dr
Ste 304
Columbia, SC 29210
Phone (803) 708-8126

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1851486781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3387",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217053387",
            "telephone_number": "888-276-1910",
            "fax_number": "240-566-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 STONERIDGE DR",
            "address_2": "SUITE 304",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108013",
            "telephone_number": "803-708-8126",
            "fax_number": "803-708-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ANESTHESIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "SHANHOLTZER",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "240-566-1639"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "PA0365",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "154754700",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0365",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CM1538",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Critical Health Systems of South Carolina, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.