NPIMap

Organization Active NPI

Salem Professional Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Advance, NC
National Provider Identifier
1992044564
Registry record updated Feb 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SALEM PROFESSIONAL ANESTHESIA SERVICES
Practice address
128 Peachtree LN Ste B
Advance, NC 27006-6783
Phone
(336) 998-3396
NPI assigned
Feb 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2013

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

Authorized official

Name
Jim Nitz
Title
Owner
Phone
(336) 624-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

128 Peachtree LN Ste B
Advance, NC 27006-6783

Mailing address

128 Peachtree LN Ste B
Advance, NC 27006-6783

National Provider Directory

National Provider Directory

Locations

128 Peachtree Ln
Ste B
Advance, NC 27006
Phone (336) 998-3396

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359763200000",
    "number": "1992044564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PEACHTREE LN STE B",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PEACHTREE LN STE B",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066783",
            "telephone_number": "336-998-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PROFESSIONAL ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-02",
        "last_updated": "2013-02-02",
        "status": "A",
        "authorized_official_last_name": "NITZ",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-624-1648"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Advance, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; 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.