Organization Active NPI

GT Anesthesia

  • Certified Registered Nurse Anesthetist
  • Mount Pleasant, SC
National Provider Identifier
1487918504
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN3094 Issued in SC
Legal business name
GT ANESTHESIA
Practice address
1728 W Canning Dr
Mount Pleasant, SC 29466-9311
Phone
(843) 906-3276
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Mrs. Tammy Lawler Ivy, CRNANPI 1417086802
Title
Crna
Phone
(843) 906-3276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X APN3094 SC Primary

Addresses

Primary practice location

1728 W Canning Dr
Mount Pleasant, SC 29466-9311

Mailing address

1728 W Canning Dr
Mount Pleasant, SC 29466-9311
Phone (843) 906-3276

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1487918504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W CANNING DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669311",
            "telephone_number": "843-906-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 W CANNING DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669311",
            "telephone_number": "843-906-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GT ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LAWLER",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "843-906-3276",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.