Premier Anesthesia of Sanford a

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PREMIER ANESTHESIA OF SANFORD A

Doing business as

Premier Anesthesia Of Sanford

Practice address

1135 Carthage St
Sanford, NC 27330-4162

Phone

(919) 774-2100

NPI assigned

May 20, 2006

Organization subpart

Yes

Parent organization

PREMIER ANESTHESIA LLCAs reported in NPPES

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

Authorized official

Name

Mr. Norbert D. Hummel III

Title

Excutive Vice President

Phone

(877) 742-0399

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Premier Anesthesia Of Sanford Doing business as

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1881648202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "334-396-6930",
            "fax_number": "334-396-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-774-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ANESTHESIA OF SANFORD A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER ANESTHESIA LLC",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXCUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "877-742-0399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC GROUP ID #",
            "identifier": "017T2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP ID #",
            "identifier": "7060782",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Anesthesia Of Sanford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anesthesiology Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.