Shushan Elam, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

204137 Issued in SC

Practice address

125 Commonwealth Dr
Greenville, SC 29615-4812

Phone

(864) 675-4000

NPI assigned

Mar 2, 2011

Last updated

Mar 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: selam1150903@direct.bsmhealth.org

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.

• Palmetto Anesthesia Associates

  • Anesthesiology Physician
  • Greenville, SC
  • NPI 1750336079
  Medicare reassignment NPD
• St. Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1558305995
  Medicare reassignment NPD
• Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Greenville, SC
  • NPI 1487684031
  Medicare reassignment
• Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Greenville, SC
  • NPI 1457395295
  NPD
• St Francis Hospital Inc

  dba Bon Secours St. Francis Oncology Specialists

  • Oncology Clinic/Center
  • Greenville, SC
  • NPI 1659175719
  NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1548568355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COMMONWEALTH DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMONWEALTH DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154812",
            "telephone_number": "864-675-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "SHUSHAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "204137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dima El Zein, M.D.
• Ezzat El-Bayoumi, MD
• Assil Jihad El-Ghali
• Shereef Yehia El-Ibiary, MD
• Miller E Elam, RN
• Stacey Elam, FNP
• Jennifer E Elder Reese, PTA
• Jeffrey Wayne Elder, MD
• Joseph Elder, MD
• Samuel Mitchell Elder, LISW-CP

• Certified Registered Nurse Anesthetist in Greenville, SC
• Providers in Greenville, 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 Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.