Presbyterian Anesthesia Associates P.A,
LBN: Providence Anesthesiology Associates, P.A.
Presbyterian Anesthesia Associates P.A, is an health care organization with primary practice located at 3735 Glenlake Dr Ste 250 , Charlotte NC 28208-6866. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Providence Anesthesiology Associates, P.A. can be contacted via phone (704) 749-5800, or through Ducey, Joseph P via phone (704) 749-5800.
Contact Information
Primary practice address
3735 Glenlake Dr Ste 250
Charlotte NC 28208-6866
Phone: (704) 749-5800
Fax: (704) 626-3272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X |
Profile Details
| NPI number | 1396739884 |
|---|---|
| LBN Legal business name | Providence Anesthesiology Associates, P.A. |
| DBA Doing business as | Presbyterian Anesthesia Associates P.A, |
| Authorized official | Ducey, Joseph P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2005 |
| Last updated | Jul 31st, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396739884 | NPPES |
| North Carolina | MEDICAID | 890180H |
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