Ambulatory Care Anesthesia, PC
Organization Active NPI Certified Registered Nurse Anesthetist · Myrtle Beach, SC
NPI 1033131990 · NPPES record last updated Feb 8, 2010
Key facts
- NPI
- 1033131990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- AMBULATORY CARE ANESTHESIA, PC
- Practice address
- 809 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 692-1062
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Maggioncalda, MD
- Title
- President
- Phone
- (843) 692-1026
Practitioners 27
-
Laura Allen, CRNA
-
James Floyd Bobo, CRNA
-
David R Davis, CRNA
-
Stephanie M. Dehart, CRNA
-
Joshua P Delong, CRNA
-
Dennis Haugen, AA-C
-
Natalie Anderson Kahn, AA-C
-
Richard E Miller, CRNA
-
Patrick Jon Phlegar, CRNA
-
Kevin H Roerden, CRNA
-
Sean E. Rubendall, CRNA
-
Sandra D Shelley, CRNA
-
Ryan Wesley Smith, M.D.
-
William Enrique Agudelo, CRNA
-
Carla J Beck, CRNA
-
Bradley R. Bugher, PA-AA
-
Mona L Gore, CRNA
-
James W. Heath, CRNA
-
Cecilia Johnson, CRNA
-
Monika Nahori, PA-AA
-
Bethany Corinne Parker, MSNA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes | ||
| Anesthesiologist Assistant |
367H00000X |
Addresses
Primary practice location
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
PO Box 2013
Columbia, SC 29202-2013
Phone (843) 692-1062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4352 | Medicaid | SC |
Other providers in Myrtle Beach, SC
- Delon Alaine Altherr
- Staci L Alumbaugh
- Michael Alvarado
- Always There Enterprises LLC
- Natali Amaradasa
- American Health Imaging of South Carolina, LLC
- Toni Ammerman
- Amnesty Health Group LLC
- Elizabeth Amundson
- Paul Anama
All providers in Myrtle Beach, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.