Edward Burt McKenzie Jr., M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30880 Issued in NC

Practice address

1211 Virginia St
Greensboro, NC 27401-1313

Phone

(336) 272-0101

Fax

(336) 809-3001

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Durham Anesthesia Associates PA

  • Specialist
  • Durham, NC
  • NPI 1730275744
  NPD (past)
• Salem Professional Anesthesia Services PC

  • Certified Registered Nurse Anesthetist
  • Greensboro, NC
  • NPI 1538171897

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447270103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29343",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274299343",
            "telephone_number": "336-272-0101",
            "fax_number": "336-809-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 VIRGINIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011313",
            "telephone_number": "336-272-0101",
            "fax_number": "336-809-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "EDWARD",
        "middle_name": "BURT",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "30880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8957111",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquena McIver, MSW,LCSWA
• Wendi Perkins McIver, DPT
• Kinley Ann McKay
• Elizabeth Ross McKee
• Gary Wayne McKeel, D.C.
• Kayla J McKenzie, PA-C
• Patrick Lee McKenzie, MD
• Sarah McKenzie
• Shakia Forbes McKenzie
• Wayland Wilson McKenzie, M.D.

• Anesthesiology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Anesthesiology Physician in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.