OrganizationActive
Ambulatory Anesthesia Services, PLLC
NPI 1790816254 · Pain Medicine (Anesthesiology) Physician · Wilmington, NC
Provider details
- NPI number
- 1790816254
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Shakar, Executive Committee Chairman(910) 442-1100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1602 Physicians Dr
Suite 104
Wilmington, NC 28401-7363
Phone: (910) 442-1100
Street-level locationGet directions
Mailing address
1602 Physicians Dr
Wilmington, NC 28401-7363
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.