John R Shulse

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

15959 Issued in TX

Practice address

1602 Physicians Dr Ste 104
Wilmington, NC 28401-7350

Phone

(910) 442-1100

Fax

(910) 442-1199

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ambulatory Anesthesia Services, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Wilmington, NC
  • NPI 1790816254
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1780863068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WOODLAND FOREST CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038832",
            "telephone_number": "910-632-8534",
            "fax_number": "910-442-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 PHYSICIANS DR STE 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017350",
            "telephone_number": "910-442-1100",
            "fax_number": "910-442-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULSE",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "15959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Shrauger, LCMHCA
• Hannah Kaye Shreckengost
• Wendy Yvonne Shropshire-Atkins, PA-C
• Alfred Titus Shuler Sr.
• Taylor Shuler
• Marisela Shults
• Dana Brent Shumate, DDS
• Paul Shuping
• Payton Shy, LCMHCA
• Christine Wilcox Sibona, M.S., CCC-SLP

• Certified Registered Nurse Anesthetist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.