Provider Demographics
NPI:1306867015
Name:AMBULATORY ANESTHESIA OF PINEHURST, PA
Entity Type:Organization
Organization Name:AMBULATORY ANESTHESIA OF PINEHURST, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:OLDROYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-278-5282
Mailing Address - Street 1:PO BOX 392097
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9097
Mailing Address - Country:US
Mailing Address - Phone:844-278-5282
Mailing Address - Fax:704-973-0815
Practice Address - Street 1:10 FIRST VILLAGE DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8725
Practice Address - Country:US
Practice Address - Phone:910-295-5676
Practice Address - Fax:910-295-5615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2348683Medicare PIN
NC2348683AMedicare PIN