Individual provider Active NPI

Pamela Jean Parks Ozaluk, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1033137336
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2931 Issued in SC
Practice address
3301 Harden Street Ext 5 Medical Park
Plametto Health Ricland
Columbia, SC 29203
Phone
(803) 296-2548
Fax
(803) 296-2525
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2931 SC Primary

Addresses

Primary practice location

3301 Harden Street Ext 5 Medical Park
Plametto Health Ricland
Columbia, SC 29203

Mailing address

1303 3Rd Street Cir E
Palmetto, FL 34221-4242
Phone (970) 281-2292

Other identifiers 1

IdentifierTypeStateIssuer
AN1517MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000234 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022018456 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

206 2ND St E
Manatee Memorial Hospital
Bradenton, FL 34208-1042
Phone (941) 746-5111

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100

Hospital & facility affiliations

  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2931SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Nov 14, 2016 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2018 Accepting new patients
Key West Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients

Locations

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1033137336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 3RD STREET CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214242",
            "telephone_number": "970-281-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HARDEN STREET EXT 5 MEDICAL PARK",
            "address_2": "PLAMETTO HEALTH RICLAND",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS OZALUK",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1517",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.