Active NPI
Karen S Davis, CRNA
- Certified Registered Nurse Anesthetist
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 74582
- Practice address
- 327 Medical Park Dr
Bridgeport, WV 26330-9006 - Phone
- (304) 624-2121
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 74582 | WV | Primary |
Addresses
Primary practice location
327 Medical Park Dr
Bridgeport, WV 26330-9006
Mailing address
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111
Hospital & facility affiliations
- Conway Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients |
Locations
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
2200 Crow Ln
Ste 102
Myrtle Beach, SC 29577
Phone (843) 520-8217
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 4
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
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Urgent Care Clinic/Center
- Darlington, SC
- NPI 1386819613
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1699913541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 MEDICAL PARK DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309006",
"telephone_number": "681-342-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 MEDICAL PARK DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309006",
"telephone_number": "304-624-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KAREN",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "74582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.