Organization Active NPI

Unifour Anesthesia Associates, PA

  • Anesthesiology Physician
  • Hickory, NC
National Provider Identifier
1902223811
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
40254 Issued in NC
Legal business name
UNIFOUR ANESTHESIA ASSOCIATES, PA
Practice address
250 18TH Street Cir SE
Suite B
Hickory, NC 28602-1361
Phone
(828) 324-4005
Fax
(828) 315-5974
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Mrs. Gerrie L Reeves
Title
Practice Manager
Phone
(828) 327-8105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 40254 NC Primary

Addresses

Primary practice location

250 18TH Street Cir SE
Suite B
Hickory, NC 28602-1361

Mailing address

415 N Center St
Suite 201
Hickory, NC 28601-5057
Phone (828) 327-8105

Other identifiers 1

IdentifierTypeStateIssuer
890266AMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Unifour Anesthesia Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 18th Street Cir SE
Ste B
Hickory, NC 28602
Phone (828) 324-4005

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1902223811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "SUITE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015057",
            "telephone_number": "828-327-8105",
            "fax_number": "828-327-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 18TH STREET CIR SE",
            "address_2": "SUITE B",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021361",
            "telephone_number": "828-324-4005",
            "fax_number": "828-315-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFOUR ANESTHESIA ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "GERRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-327-8105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "40254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890266A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.