Active NPI
Sabrina T Gonzalez, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Orangeburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN3097
- Practice address
- 3000 Saint Matthews Rd
Orangeburg, SC 29118-1442 - Phone
- (803) 395-2200
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Certified Registered Nurse Anesthetist
- Walterboro, SC
- NPI 1659316958
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Walterboro, SC
- NPI 1942245246
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
Hospital
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
- Medstream Anesthesia PLLC
Practice addresses (Care Compare)
2669 Kinard St
Newberry, SC 29108-2911
Phone (803) 276-7570
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000
Hospital & facility affiliations
- Colleton Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070206000405 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4486656394 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3097 | SC | MD | Physical Therapy Assistant |
| APRN3097 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Colleton Medical Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Colleton Medical Hospitalists LLC | Past | Accepting new patients |
Locations
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
304 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-0700
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN3097 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Mailing address
PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 830349775 | Other | SC | TAX IDENTIFICATION NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2009.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1164574406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1245",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291161245",
"telephone_number": "803-395-4497",
"fax_number": "803-536-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 SAINT MATTHEWS RD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291181442",
"telephone_number": "803-395-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SABRINA",
"middle_name": "T",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APRN3097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "830349775",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.