Active NPI
Ethan Hazelrigs, BSN, MSN, CRNA
- Certified Registered Nurse Anesthetist
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 214369
- Practice address
- 500 Heathridge Lane
Cary, NC 27513 - Phone
- (919) 720-2723
- NPI assigned
- Oct 13, 2014
- Last updated
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 214369 | NC | Primary |
Addresses
Primary practice location
500 Heathridge Lane
Cary, NC 27513
Mailing address
500 Heathridge Lane
Cary, NC 27513
Phone (919) 720-2723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214369 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash Hospitals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Granville Health System | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nash Hospitals Inc | Current | Accepting new patients | |
| Granville Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Regional Anesthesia, PLLC | Current | Accepting new patients |
Locations
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
1010 College St
Oxford, NC 27565
Phone (919) 623-5115
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
dba Granville CRNA Group
- Certified Registered Nurse Anesthetist
- Oxford, NC
- NPI 1275638512
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
Nurse Anesthetist, Certified Registered
-
- Specialist
- Durham, NC
- NPI 1952486946
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1659250678
SC
-
- Diagnostic Radiology Physician
- Oxford, NC
- NPI 1104683341
-
dba UNC Health Nash Specialty Care Transport
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1073917589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HEATHRIDGE LANE",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-720-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HEATHRIDGE LANE",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-720-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELRIGS",
"first_name": "ETHAN",
"credential": "BSN, MSN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-13",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "214369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.