Fredrick Michael Amatriain, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Seneca, SC
NPI 1881677367 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1881677367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R80877 (SC)
- Practice address
- 298 Memorial Dr
Seneca, SC 29672-9443 - Phone
- (864) 882-3351
- Fax
- (706) 660-9390
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1133 | SC | MD | Athletic Trainer |
| R80877 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R80877 | SC | Yes |
Addresses
Primary practice location
298 Memorial Dr
Seneca, SC 29672-9443
Mailing address
PO Box 2585
Columbus, GA 31902-2585
Phone (706) 660-8505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2991 | Medicaid | SC | |
| AN0992 | Medicaid | SC |
Other providers in Seneca, SC
- Tamira Allen
- Kiran Kumar Allu
- Andrea L Allyn
- Alexis Almeida
- Xavier Alston
- American Medical Consultants, LLC
- Anderson Diagnostic Imaging, Inc
- Erin Anderson-Lee
- Linda Lou Anderson
- Anesthesia Aficianados, LLC
All providers in Seneca, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.