E.a. Conway Medical Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

129 Issued in LA

Legal business name

E.A. CONWAY MEDICAL CENTER

Practice address

4864 Jackson St
Monroe, LA 71202-6400

Phone

(318) 330-7000

Fax

(318) 675-5666

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Melanie H Sotak, MHSA

Title

Director of Managed Care

Phone

(318) 675-7737

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• E.A. Conway Medical Center CRNAs Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vernon T Baldwin Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
  • NPI 1245303957

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1174656367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-330-7000",
            "fax_number": "318-675-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-330-7000",
            "fax_number": "318-675-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.A. CONWAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SOTAK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "318-675-7737",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799882",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.A. Conway Medical Center CRNAs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Dye, PT, DPT
• Maurice Parnell Dyer Sr.
• Whitney Dyer
• Bonita H Dyess, M.D.
• Dynamic Therapy Solutions, LLC
• E.a. Conway Medical Center
• E.a.Conway Medical Staff Group
• Eagles Wings Recovery
• Jill Earles
• Keife Earley

• Certified Registered Nurse Anesthetist in Monroe, LA
• Providers in Monroe, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.