Active NPI
Unifour Anesthesia Associates, PA
- Anesthesiology Physician
- Hickory, NC
National Provider Identifier
1902223811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 40254
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890266A | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Unifour Anesthesia Associates PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physician Assistant
- Hickory, NC
- NPI 1518242189
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.