Individual provider Active NPI

Patrick Jon Phlegar, CRNA

  • Certified Registered Nurse Anesthetist
  • Murrells Inlet, SC
National Provider Identifier
1801855176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN2124 Issued in SC
Practice address
Highway 17 Bypass
Waccamaw Community Hospital
Murrells Inlet, SC 29576
Phone
(843) 652-1000
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

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 APN2124 SC Primary

Addresses

Primary practice location

Highway 17 Bypass
Waccamaw Community Hospital
Murrells Inlet, SC 29576

Mailing address

914 Tairilin Dr
Unit D
Lake City, SC 29560-4915
Phone (843) 628-0779

Other identifiers 1

IdentifierTypeStateIssuer
AN1338MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810000609 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416926308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Carolina Sedation Associates, LLCGroup PAC ID 4082031232, 3 clinicians

Practice addresses (Care Compare)

415 N Ctr St
Suite 300
Hickory, NC 28601-5036
Phone (828) 328-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN2124SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 25, 2020 Accepting new patients
Triad Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Inlet Anesthesia Consultants, PC Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Amsol Anesthetists of Murrells Inlet, SC Past Accepting new patients
Ambulatory Care Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

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

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

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

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

434 Kirby Rd
King, NC 27021

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902

137 Mount Calvary Rd
#A
Thomasville, NC 27360

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801855176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 TAIRILIN DR",
            "address_2": "UNIT D",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604915",
            "telephone_number": "843-628-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 17 BYPASS",
            "address_2": "WACCAMAW COMMUNITY HOSPITAL",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-652-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHLEGAR",
        "first_name": "PATRICK",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN2124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1338",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

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.
  • 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.

Verify at the official NPI Registry.