Active NPI
June A. Fulton Margiewicz, CRNA
- Certified Registered Nurse Anesthetist
- Reedsport, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN10709
- Practice address
- 600 Ranch Rd
Reedsport, OR 97467-1795 - Phone
- (541) 271-2171
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN10709 | TN | Primary |
Addresses
Primary practice location
600 Ranch Rd
Reedsport, OR 97467-1795
Mailing address
600 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3624253 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10709 | TN | MD | Dermatology Physician |
| APN10709 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Dyersburg Hospital Company LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Singing River Health System | Past | Accepting new patients | |
| Molina Burkett Chauhan Wheeley and Fink MD PA | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
350 Blountville Hwy
Ste 108
Bristol, TN 37620
Phone (423) 844-6120
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ashland, KY
- NPI 1578946596
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
dba Dyersburg Hospital Anesthesia
- Anesthesiology Physician
- Dyersburg, TN
- NPI 1164471413
Nurse Anesthetist, Certified Registered
-
dba St Lucie Anesthesia Specialists
- Anesthesiology Physician
- Fort Pierce, FL
- NPI 1649486986
-
dba Inpatient Physician Services
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1649252354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RANCH RD",
"city": "REEDSPORT",
"state": "OR",
"postal_code": "974671720",
"telephone_number": "541-271-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RANCH RD",
"city": "REEDSPORT",
"state": "OR",
"postal_code": "974671795",
"telephone_number": "541-271-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON MARGIEWICZ",
"first_name": "JUNE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN10709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3624253",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reedsport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.