Active NPI
Amsurg Greenville Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Greenville, SC
National Provider Identifier
1386918795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- AMSURG GREENVILLE ANESTHESIA LLC
- Practice address
- 14 Hawthorne Park CT
Greenville, SC 29615-3194 - Phone
- (864) 331-0364
- NPI assigned
- Mar 2, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Phillip Clendenin
- Title
- President
- Phone
- (615) 665-1283
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14 Hawthorne Park CT
Greenville, SC 29615-3194
Mailing address
1A Burton Hills Blvd
Attn: Provider Enrollment
Nashville, TN 37215-6187
Phone (615) 240-3809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2016.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1386918795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156187",
"telephone_number": "615-240-3809",
"fax_number": "615-234-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HAWTHORNE PARK CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153194",
"telephone_number": "864-331-0364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMSURG GREENVILLE ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-02",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "CLENDENIN",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.