Individual provider Active NPI

Sean E. Rubendall, CRNA

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
National Provider Identifier
1184920993
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP128150 Issued in TX
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 692-4062
NPI assigned
Jan 27, 2011
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4428 SC
Certified Registered Nurse Anesthetist 367500000X AP128150 TX Primary

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

PO Box 1792
Columbia, SC 29202-1792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150708000379 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052595576 Reassigns benefits to 9 organizations
I20210921002346 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052595576 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

2201 W Lampasas St
Ennis, TX 75119-5644
Phone (469) 256-2458

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Partners, PLLC CurrentSince Jan 25, 2026 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Oct 25, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2023 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Nov 12, 2021 Accepting new patients
Anesthesia Partners of Dallas PLLC CurrentSince Nov 1, 2017 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Jan 1, 2022 Accepting new patients
NTX Anesthesiology Consultants PLLC CurrentSince Apr 7, 2018 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Clinical Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2022 Accepting new patients
Ambulatory Care Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Waccamaw Anesthesia Consultants, PA Past Accepting new patients
Beach Anesthesia, LLC Past Accepting new patients
Coastal Anesthesia Medical Group, LLC Past Accepting new patients
Martinsville Anesthesia, PC Past Accepting new patients

Locations (25 of 35)

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

6833 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 467-1895

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

11970 N Central Expy
Dallas, TX 75243
Phone (972) 566-7111

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

1452 Hughes Rd
Ste 244
Grapevine, TX 76051
Phone (800) 875-8523

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

8751 Collin McKinney Pkwy
Ste 1603
McKinney, TX 75070

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1184920993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1792",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292021792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENDALL",
        "first_name": "SEAN",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "4428",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP128150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.