Organization Active NPI

Wesmark Surgery Center Anesthesia

  • Certified Registered Nurse Anesthetist
  • Sumter, SC
National Provider Identifier
1225086069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GP4179MedicaidSC

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.