Marion County Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MARION COUNTY ANESTHESIA LLC

Practice address

2829 E Highway 76
Mullins, SC 29574-6035

Phone

(843) 431-2542

NPI assigned

Jan 4, 2008

Last updated

Sep 8, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard C JohnsonNPI 1578506929

Title

Crna/Member

Phone

(843) 431-2542

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard C Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Mullins, SC
  • NPI 1578506929
  Authorized official Same address or phone
• Wilma I Rabon, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, SC
  • NPI 1063472496

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1427233873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746035",
            "telephone_number": "843-431-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CRNA/MEMBER",
        "authorized_official_telephone_number": "843-431-2542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0097",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN4700",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living by Grace
• Roseanne Locklear
• Candida Maria Loiselle, FNP
• Tony Lucas
• Marion Anesthesia PA
• Marion Physician Services LLC (Total Family Care)
• Marion Physician Services LLC (Advanced Medical Associates)
• Marion Physician Services LLC (Pee Dee Pediatrics)
• Marion Physician Services LLC (Marion Pediatrics)
• Marion Physician Services LLC

• Certified Registered Nurse Anesthetist in Mullins, SC
• Providers in Mullins, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.