Samantha Bido
Individual provider Active NPI Certified Registered Nurse Anesthetist · Greenville, SC
NPI 1265070908 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1265070908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 23736 (SC)
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Dec 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Hospital & facility affiliations
- Prisma Health Richland Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200616000875 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3072935337 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN649821 | PA | MD | Registered Nurse |
| 23726 | SC | MD | Family Nurse Practitioner |
| 23736 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Midlands | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health-Midlands | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients |
Locations
5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN649821 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 23736 | SC | Yes |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126349 | Other | PA | NBCRNA |
| AN3101 | Medicaid | SC |
Other providers in Greenville, SC
- Bi-Lo Pharmacy
- Byron Martin Bibbs
- Amelia Bibler
- Joshua Bickel
- Natalie Murphy Bickley
- Jill Nicole Biediger
- Stephen Dale Bielby
- Katelyn Rose Bien
- Tyler Bien
- Akia Bigby
All providers in Greenville, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.