Active NPI
Wesmark Surgery Center Anesthesia
- Certified Registered Nurse Anesthetist
- Sumter, SC
National Provider Identifier
1225086069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- WESMARK SURGERY CENTER ANESTHESIA
- Practice address
- 420 W Wesmark Blvd
Sumter, SC 29150-1983 - Phone
- (803) 905-5590
- NPI assigned
- May 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patsy Royal
- Title
- Adminstrator
- Phone
- (803) 905-5590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
420 W Wesmark Blvd
Sumter, SC 29150-1983
Mailing address
PO Box 2429
Murrells Inlet, SC 29576-2429
Phone (843) 651-2624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4179 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225086069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2429",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295762429",
"telephone_number": "843-651-2624",
"fax_number": "843-357-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W WESMARK BLVD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501983",
"telephone_number": "803-905-5590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESMARK SURGERY CENTER ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROYAL",
"authorized_official_first_name": "PATSY",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "803-905-5590"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4179",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
- Terrance Wells
- Wescott Enterprises Inc (Praxair Healthcare Services)
- Wesmark Ambulatory Surgery Center
- Wesmark Dental Health Center
- Wesmark Family Dentistry of Sumter, PC
- Caryn McNaney West, OD
- Julie Ann West, PA-C
- Benjamin Wells Weston, MD
- Kaneisha Tierra Whack, MS, CACP
- David Glenn Whaley Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.