David E Abramovitz, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Myrtle Beach, SC
NPI 1528048170 · NPPES record last updated Jul 13, 2009
Key facts
- NPI
- 1528048170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R54363 (SC)
- Practice address
- 809 82ND Pkwy
Anesthesia Dept
Myrtle Beach, SC 29572-4607 - Phone
- (843) 692-1000
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2314 | SC | MD | Audiologist |
| R54363 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Man in the Box Anesthesia LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R54363 | SC | Yes |
Addresses
Primary practice location
809 82ND Pkwy
Anesthesia Dept
Myrtle Beach, SC 29572-4607
Mailing address
PO Box 932802
Atlanta, GA 31193-2802
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0668 | Medicaid | SC |
Other providers in Myrtle Beach, SC
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- Sydney Abernathy
- Christeen Moncy Abraham
- Kelly Abraham
- Nancy Abrahams
- Ibrahim Mohammad Abu Dayah
- Lauren Sattele Abusal
- Accuquest Hearing Center, LLC
- Christopher Acquaviva
- Acs Primary Care Physicians - Southeast PC
All providers in Myrtle Beach, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.