Professional Anesthesia Services

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PROFESSIONAL ANESTHESIA SERVICES

Practice address

1261 Oliver St
Fayetteville, NC 28304-4450

Phone

(910) 323-1680

NPI assigned

Dec 20, 2013

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Lecates, CRNA

Title

President/Owner

Phone

(336) 472-7289

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1851712699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14489",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272637489",
            "telephone_number": "888-447-7220",
            "fax_number": "336-884-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 OLIVER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044450",
            "telephone_number": "910-323-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "LECATES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-472-7289",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Weston Prior, DO
• Pristine Care Group, LLC
• Harrison Wade Pritchard
• Private Diagnostic Clinic, PLLC (Duke Children's Cardiology of Fayetteville)
• Proactive MD NC, PC (Proactive MD Cumberland County Employee Health Center)
• Professional Care Services, Inc.
• Professional Early Intervention Services, LLC
• Professional Early Intervention Services, LLC
• Professional Family Care Services, Inc
• Professional Family Care Services, Inc

• Certified Registered Nurse Anesthetist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.