Active NPI
Peter Ganun, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 306
- Practice address
- 317 Western Blvd
Jacksonville, NC 28546-6338 - Phone
- (910) 577-2471
- Fax
- (910) 577-2634
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 181130 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 181130 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 306 | NC | Primary |
Addresses
Primary practice location
317 Western Blvd
Jacksonville, NC 28546-6338
Mailing address
214 Bates Retreat
Middle Point Village
Hampstead, NC 28443-2474
Phone (910) 270-0737
Other practice location 1
1801 S 17th St
Wilmington, NC 28401-6443
Phone (910) 763-4555 ext. 109
Other practice location 2
2430 Emerald Pl Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140 ext. 102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6907604 | Medicaid | NC | |
| 562014989 | Other | NC | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-3491
242 A 9TH Ave Dr NE
Hickory, NC 28601-3828
Phone (828) 327-6673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Carolina Regional Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140
704 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-8181
242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555
2800 Ashton Dr
Ste 100
Wilmington, NC 28412
Phone (910) 794-8842
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
300 Community Dr
Plandome, NY 11030
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
Organizations & group practices 5
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
- Statesville, NC
- NPI 1699723791
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Anesthesiology
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1861458648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 BATES RETREAT",
"address_2": "MIDDLE POINT VILLAGE",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284432474",
"telephone_number": "910-270-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 WESTERN BLVD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466338",
"telephone_number": "910-577-2471",
"fax_number": "910-577-2634"
}
],
"practiceLocations": [
{
"address_1": "1801 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016443",
"country_code": "US",
"telephone_number": "910-763-4555 x109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2430 Emerald Pl Ste 201",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278345743",
"country_code": "US",
"telephone_number": "252-752-2140 x102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANUN",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "181130",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "181130",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6907604",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "562014989",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.