Active NPI
Jason Michael Richard, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 19266
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Jan 26, 2015
- 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 | 19266 | SC | Primary |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
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)
109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200
2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300
Hospital & facility affiliations
- Musc Health Columbia Medical Center Downtown
- Kershawhealth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Midlands | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Amsurg Columbia Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kershaw Anesthesia, LLC | Current | Accepting new patients | |
| Prisma Health-Midlands | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Under Anesthesia | Current | Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
106 Ellett Rd
Chapin, SC 29036
Phone (803) 941-8096
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
2739 Laurel St
Ste 1B
Columbia, SC 29204
Phone (803) 254-9588
5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1164765723
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Camden, SC
- NPI 1073986048
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- Anesthesiology Physician
- Sumter, SC
- NPI 1194018242
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1003327792
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
-
- Psychiatric Hospital
- Camden, SC
- NPI 1306416680
-
- General Acute Care Hospital
- Camden, SC
- NPI 1487220307
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1134519481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "5 Richland Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036863",
"country_code": "US",
"telephone_number": "803-434-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARD",
"first_name": "JASON",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-26",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "19266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.