Nurse Anesthesia of North Carolina, PLLC
Organization Active NPI Certified Registered Nurse Anesthetist · Elizabeth City, NC
NPI 1689628729 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1689628729
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- NURSE ANESTHESIA OF NORTH CAROLINA, PLLC
- Practice address
- 1144 N Road St
Elizabeth City, NC 27909-3353 - Phone
- (252) 335-0531
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Philip W Eichenholz, MD
- Title
- President
- Phone
- (214) 687-0001
Practitioners 186
-
Kimberly Leggett Bedwell, CRNA
-
Traci R Burke, CRNA
-
Brian Matthew Carroll, CRNA
-
Robert Joshua Caudle, CRNA
-
Jones Brian Darnell, CRNA
-
Rose Kordich Doyle, CRNA
-
Miranda Bare Edwards, CRNA
-
Nicholas M Hartman, CRNA
-
Meredith Leigh Hnilica, CRNA
-
Fredena Lucas Jaggers, CRNA
-
Jalal Shoukri Kablan, CRNA
-
Kristin Clickett Laster, CRNA
-
Hal Justin Lowder, CRNA
-
Bruce Dwayne Monks, CRNA
-
Mercie M Payne, CRNA
-
Eldridge Lee Coates, CRNA
-
William D Howell, CRNA
-
Erika Nicole Isaacs, CRNA
-
Douglas Michaelson, CRNA
-
Tonia Ann Rouser, CRNA
-
Daniel Zamudio II, CRNA
-
Joseph Ales Jr., CRNA
-
Gary L Amos, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040107000364 | NC | Part B Supplier - Clinic/Group Practice | 7911806195 |
Receives reassigned benefits from 23 practitioners Practice locations: Elkin, NC |
National Provider Directory
Locations
2203 S Sterling St
Ste 147
Morganton, NC 28655
Phone (828) 302-0680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
1144 N Road St
Elizabeth City, NC 27909-3353
Mailing address
PO Box 610462
Dallas, TX 75261-0462
Phone (239) 610-0775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000308 | Medicaid | NC |
Other providers in Elizabeth City, NC
- Northeastern Professional Counseling
- Northeastern Spine and Sport Chiropractic PLLC
- Northpoint Counseling PLLC
- Northside Park Gastroenterology & Endoscopy Center PLLC
- Jonna Null
- Nutrition Pair, LLC
- Susan Geer O'Brien
- Kayla O'Keefe
- Amanda Ofallon
- Amy Ogundare
All providers in Elizabeth City, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.