Samuel Hal McNutt Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

150 Issued in SC

Practice address

Taylor at Marion Streets
Palmetto Health Baptist
Richland, SC 29201

Phone

(803) 296-2548

Fax

(803) 296-2548

NPI assigned

Mar 21, 2006

Last updated

Dec 12, 2017By 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

Enrolled in SC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concordia Anesthesiology IncGroup PAC ID 8325172885, 10 clinicians

Columbia Eye Clinic PAGroup PAC ID 8426069907, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Columbia Eye Clinic PA

  • Clinic/Center
  • Columbia, SC
  • NPI 1720044514
  Medicare reassignment Care Compare group NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464

  SC

  Medicare reassignment Care Compare group NPD
• Beach Anesthesia, LLC

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1215061429
  Medicare reassignment NPD
• Columbia Eye Surg Center Inc

  • Ophthalmologic Surgery Clinic/Center
  • Columbia, SC
  • NPI 1184686792
  Medicare reassignment NPD
• Prisma Health-Midlands

  dba Prisma Health Baptist Hospital

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Medicare reassignment NPD
• Columbia Eye Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
  • NPI 1720175573
  NPD
• Prisma Health-Midlands

  dba Prisma Health Columbia CRNA Services

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
  • NPI 1003327792

  Nurse Anesthetist, Certified Registered

  NPD
• Prisma Health-Midlands

  dba Prisma Health Tuomey Hosptial

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548
  NPD
• Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Mount Pleasant, SC
  • NPI 1104914076
  NPD (past)
• Palmetto Health

  dba Palmetto Health Orthopedics

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1780005827
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1508825308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 GREYSTONE BLVD",
            "address_2": "FIRST FLOOR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108004",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAYLOR AT MARION STREETS",
            "address_2": "PALMETTO HEALTH BAPTIST",
            "city": "RICHLAND",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "SAMUEL",
        "middle_name": "HAL",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0522",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.

Verify at the official NPI Registry.