Metrolina Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

METROLINA ANESTHESIA LLC

Practice address

800 W Meeting St
Lancaster, SC 29720-2202

Phone

(803) 286-1214

NPI assigned

Oct 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron C Deatley, CRNA

Title

Vice President

Phone

(704) 604-8206

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald C Deatley, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1164467718

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1013196799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 CORPORATE CENTER DR",
            "address_2": "SUITE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264464",
            "telephone_number": "704-540-4350",
            "fax_number": "888-422-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202202",
            "telephone_number": "803-286-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "DEATLEY",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-604-8206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DH2057",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical University Hospital Authority
• Medical University Hospital Authority
• Medical University Hospital Authority Imaging Center
• Kristina Marie Medinger, DAT
• Mia Lassiter Medlock, PA-C
• Jessica Leigh Metzler, CRNA
• MFP Work Wellness LLC
• Mid Carolina Dental Center PLLC
• Mid-Carolina Surgery Specialists, PLLC
• Midlands Orthodontics LLC

• All providers in Lancaster, SC
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.