Hartsville Anesthesia Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HARTSVILLE ANESTHESIA ASSOCIATES

Practice address

315 Churchill Rd
Hartsville, SC 29550-4015

Phone

(803) 749-8585

Fax

(803) 749-8909

NPI assigned

May 20, 2007

Organization subpart

No

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

Authorized official

Name

William T Odom, MDNPI 1598717167

Title

President

Phone

(803) 724-7495

Specialties & licenses 2

Addresses

Locations

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.

• William Thomas Odom II, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Irmo, SC
  • NPI 1598717167
  Authorized official Same address or phone
• Edward Alton Wallace, MD

  • Anesthesiology Physician
  • Conway, SC
  • NPI 1255486452
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1871701029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CHURCHILL RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504015",
            "telephone_number": "803-724-7495",
            "fax_number": "803-724-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CHURCHILL RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504015",
            "telephone_number": "803-749-8585",
            "fax_number": "803-749-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-724-7495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Hall
• Brian Demetrius Ham, HAIR LOSS SPECIALIST
• Michael E Harless, M.D.
• Elizabeth Harrelson, LPES
• Leigh Ann G. Harrigan, PA-C
• Hartsville Diagnostic Associates PA
• Hartsville Drug Co Inc (Hartsville Drug Company)
• Hartsville Drug Co., Inc.
• Hartsville Eye Group PC (Harrington & Flowers Vision Center)
• Hartsville Family Chiropractic

• Specialist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.