Active NPI
Jonathan Wayne Rector, CRNA
- Certified Registered Nurse Anesthetist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 167634
- Practice address
- 4420 Lake Boone TRL
Raleigh, NC 27607-7505 - Phone
- (919) 784-3034
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 167634 | NC | Primary |
Addresses
Primary practice location
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Mailing address
PO Box 18139
Raleigh, NC 27619-8139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00033013 | Other | NC | RAILROAD-MEDICARE |
| 8051730 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Suite 207
Chapel Hill, NC 27514-4220
Phone (984) 974-7198
5115 Oleander Dr
Wilmington, NC 28403-7018
Phone (910) 362-1011
704 WH Smith Blvd
Greenville, NC 27834-3761
Phone (828) 327-6673
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4169 | SC | MD | Physician Assistant |
| 167634 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Anesthesiology | Current | Accepting new patients |
| Carolina Regional Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Resources of the Carolinas, P.a. | Anesthesiology | Past | Accepting new patients |
| Perioperative Medicine Consultants, LLC | Anesthesiology | Past | Accepting new patients |
Locations
101 Manning Dr
Ste 207
Chapel Hill, NC 27514
Phone (984) 974-7198
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Anesthesiology
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Neurological Surgery Physician
- South Boston, VA
- NPI 1407308703
-
- Pain Medicine (Anesthesiology) Physician
- Dunn, NC
- NPI 1336185974
-
- Pain Medicine (Anesthesiology) Physician
- Mullins, SC
- NPI 1598850257
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427103480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18139",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276198139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-784-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECTOR",
"first_name": "JONATHAN",
"middle_name": "WAYNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "167634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD-MEDICARE",
"identifier": "P00033013",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051730",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.