McKenzie Anesthesia Care LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

053354 Issued in SC

Legal business name

MCKENZIE ANESTHESIA CARE LLC

Practice address

258 N Ron McNair Blvd
Dept of Anes
Lake City, SC 29560-2462

Phone

(843) 374-2036

NPI assigned

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Sidney Allen McKenzie, CRNA

Title

President

Phone

(843) 319-3271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1487945374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 OLANTA HWY",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295605351",
            "telephone_number": "843-319-3271",
            "fax_number": "843-676-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 N RON MCNAIR BLVD",
            "address_2": "DEPT OF ANES",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602462",
            "telephone_number": "843-374-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE ANESTHESIA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-319-3271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "053354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth McBride, RN MSN
• Jodie McCutcheon
• William D. McDaniel, D.M.D.
• Michelle Floyd McDonald, RN
• Fedora McGill
• Betty McKenzie, SLP
• Kawanna McKenzie, SLP
• James McKinney, PT
• McLeod Physician Associates II
• McLeod Physician Associates II

• Certified Registered Nurse Anesthetist in Lake City, SC
• Providers in Lake City, 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 Nov 18, 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.