Individual provider Active NPI

Paul J Maholtz, CRNA

  • Certified Registered Nurse Anesthetist
  • Laurinburg, NC
National Provider Identifier
1730161514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
047596 Issued in NC
Practice address
500 E Lauchwood Dr
Laurinburg, NC 28352-5501
Phone
(910) 291-7393
Fax
(910) 291-7399
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 047596 NC Primary

Addresses

Primary practice location

500 E Lauchwood Dr
Laurinburg, NC 28352-5501

Mailing address

500 E Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 291-7393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000424 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486610219 Reassigns benefits to 10 organizations
I20080115000472 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486610219 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
047596NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Anesthesia Services Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Rowan Regional Medical Center CurrentSince Jun 22, 2020 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Western Carolina Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Triad Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Southeast Anesthesiology Consultants, PLLC CurrentSince Aug 1, 2014 Accepting new patients
Southeast Anesthesiology Consultants, PLLC CurrentSince Aug 1, 2014 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Jun 22, 2020 Accepting new patients
Providence Anesthesiology Associates, P.a. CurrentSince Feb 19, 2020 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince May 6, 2011 Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 6, 2012 Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Fayetteville Anesthesia, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Synergy Spine Center, PA Past Accepting new patients

Locations (25 of 27)

112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

280 Broad St
Ste F
Kernersville, NC 27284
Phone (336) 765-6312

434 Kirby Rd
King, NC 27021

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

137 Mount Calvary Rd
#A
Thomasville, NC 27360

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

2025 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 768-6621

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730161514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-291-7393",
            "fax_number": "910-291-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-291-7393",
            "fax_number": "910-291-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOLTZ",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "047596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.