Organization Active NPI

Midlands Anesthesia Company, LLC

  • Certified Registered Nurse Anesthetist
  • Camden, SC
National Provider Identifier
1710480280
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MIDLANDS ANESTHESIA COMPANY, LLC
Practice address
340 Sumter Hwy
Camden, SC 29020-9347
Phone
(803) 243-1537
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Joshua Tobias Schreiber, CRNA
Title
Partner
Phone
(803) 243-1537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X SC Primary

Addresses

Primary practice location

340 Sumter Hwy
Camden, SC 29020-9347

Mailing address

238 Ascot Dr
Camden, SC 29020-7317
Phone (803) 243-1537

Other practice location 1

238 Ascot Dr
Camden, SC 29020-7317
Phone (803) 243-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606003263 SC Part B Supplier - Clinic/Group Practice 5991060204 Receives reassigned benefits from 5 practitioners
Practice locations: Chapin, SC

National Provider Directory

National Provider Directory

Locations

340 Sumter Hwy
Camden, SC 29020
Phone (803) 243-1537

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1710480280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 ASCOT DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290207317",
            "telephone_number": "803-243-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SUMTER HWY",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290209347",
            "telephone_number": "803-243-1537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Ascot Dr",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290207317",
            "country_code": "US",
            "telephone_number": "803-243-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDLANDS ANESTHESIA COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "TOBIAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-243-1537",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.