Provider Demographics
NPI:1659716363
Name:GADSDEN EYE ASSOCIATES P C
Entity Type:Organization
Organization Name:GADSDEN EYE ASSOCIATES P C
Other - Org Name:NORTHEAST AL EYE ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CATANZARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-547-7561
Mailing Address - Street 1:PO BOX 8567
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35902-8567
Mailing Address - Country:US
Mailing Address - Phone:256-543-4180
Mailing Address - Fax:256-547-9500
Practice Address - Street 1:314 S 5TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4224
Practice Address - Country:US
Practice Address - Phone:256-543-4180
Practice Address - Fax:256-547-9500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GADSDEN EYE ASSOCIATES P C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty