MEDICARE: AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207L00000X	Anesthesiology Physician
2	207LC0200X	Critical Care Medicine (Anesthesiology) Physician
3	208VP0014X	Interventional Pain Medicine Physician
4	363LA2200X	Adult Health Nurse Practitioner
5	363LF0000X	Family Nurse Practitioner
6	367500000X	Certified Registered Nurse Anesthetist
7	207LP2900X	Pain Medicine (Anesthesiology) Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	CB1276	OTHER	NC	RAILROAD-MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56152	OTHER	NC	PARTNERS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	02955	OTHER	NC	BCBS,NC CRITICAL CARE
4	02522	OTHER	NC	BCBS, NC MD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942248547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC

Provider Business Mailing Address
First Line	:	1305 WALT WHITMAN RD STE 300
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-4300
Country	:	US
Telephone Number	:	516-208-4250
Fax Number	:	704-248-5537

Provider Business Practice Location Address
First Line	:	110 CAPCOM AVE STE 200
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-6531
Country	:	US
Telephone Number	:	984-215-6931
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCES ABDOU
Credential	:
Telephone Number	:	754-247-4124

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	06/09/2022

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