Active NPI
Glenn Barton Paige, MD
- Anesthesiology Physician
- Hickory, NC
National Provider Identifier
1962482695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 200100585
- Practice address
- 415 N Center St
Ste 201
Hickory, NC 28601-5036 - Phone
- (828) 327-8105
- Fax
- (828) 327-4245
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 200100585 | NC | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 200100585 | NC |
Addresses
Primary practice location
415 N Center St
Ste 201
Hickory, NC 28601-5036
Mailing address
415 N Center St
Ste 201
Hickory, NC 28601-5036
Phone (828) 327-8105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891288E | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100585 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Anesthesia Consultants, PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1992753941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1962482695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N CENTER ST",
"address_2": "STE 201",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015036",
"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": "415 N CENTER ST",
"address_2": "STE 201",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015036",
"telephone_number": "828-327-8105",
"fax_number": "828-327-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "GLENN",
"middle_name": "BARTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "200100585",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "200100585",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891288E",
"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 Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.