Active NPI
Stephen T Michaux-Smith, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 079673
- Practice address
- 2080 W Arlington Blvd Ste B
Greenville, NC 27834 - Phone
- (252) 752-2140
- Fax
- (252) 689-6502
- NPI assigned
- May 16, 2008
- Last updated
- Aug 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 079673 | NC | Primary |
| Registered Nurse | 163W00000X | 143024 | NC |
Addresses
Primary practice location
2080 W Arlington Blvd Ste B
Greenville, NC 27834
Mailing address
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (252) 752-2140
Other practice location 1
2430 Emerald Pl
Suite 201
Greenville, NC 27834-5784
Phone (252) 752-2140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053446 | Medicaid | NC | |
| P00679667 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Airport Rd
Kinston, NC 28501-1604
Phone (252) 522-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143024 | NC | MD | Registered Nurse |
| 079673 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenoir Memorial Hospital, Incorporated | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| Lenoir Memorial Hospital, Incorporated | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140
100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000
Organizations & group practices 3
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.
-
dba Certified Registered Nurse Anesthetist
- Certified Registered Nurse Anesthetist
- Kinston, NC
- NPI 1679517296
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ekg Eeg
- Cardiology Technician
- Kinston, NC
- NPI 1013957414
Hospital
-
dba UNC Lenoir Health Care
- General Acute Care Hospital
- Kinston, NC
- NPI 1962446385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1992962187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
}
],
"practiceLocations": [
{
"address_1": "2430 Emerald Pl",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278345784",
"country_code": "US",
"telephone_number": "252-752-2140",
"fax_number": "252-752-3949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAUX-SMITH",
"first_name": "STEPHEN",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "079673",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "143024",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053446",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00679667",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.