EAST CAROLINA HEALTH-BERTIE (NPI# 1003894304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003894304 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA HEALTH-BERTIE |
| Other Organization Name | BERTIE MEMORIAL HOSPITAL |
| Practice Address |
1403 S King St Windsor NC 27983-9666 |
| Mailing Address |
Po Box 40 Windsor NC 27983-0040 |
| Practice Telephone | 2527946600 |
| Mailing Telephone | 2527946600 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | MR. JEFFREY N. SACKRISON (PRESIDENT) |
| Authorized Official Telephone | 2527946000 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST CAROLINA HEALTH-BERTIE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | H0268 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8000331 | 05 | |
| NC | BCBS CRNA GROUP # | 0003A | 01 |
| Other Name | Type Code |
|---|---|
| Bertie Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1578541660 | East Carolina Health-bertie | Emergency Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-01-09 |
| 1619955705 | East Carolina Health-bertie | Emergency Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-01-09 |
| 1568440865 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2006-01-06 |
| Street Address |
1403 S KING ST |
| City | WINDSOR |
| State | NC |
| Zip Code | 27983-9666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1245724905 | Christopher Michael Gregorski | Physical Therapist | 1403 S King St, Windsor, NC 27983-9666 | 2018-06-17 |
| 1487847273 | Amanze Olufemi Ofondu Ugoji | Family Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2007-08-24 |
| 1457387383 | Louis Velazquez | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-06-23 |
| 1326074410 | John Edward Killgore | Nurse Practitioner | 1403 S King St, Windsor, NC 27983-9666 | 2006-06-23 |
| 1649228750 | Phillip Gordon Harris | Family Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-04 |
| 1437107547 | Edward Carl Warren | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-04 |
| 1013965060 | Timothy Charles Madigan | Family Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-04 |
| 1538127337 | Shawn Michael Wagner | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-02 |
| 1427027010 | Jay R Oswald | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666187 | Daughters Like Me, LLC | Respite Care | 109 W Byrd Street, Windsor, NC 27983 | 2020-10-15 |
| 1982220018 | Marlee Sloan | Specialist/Technologist | 705 Us Hwy 13n, Windsor, NC 27983 | 2020-06-24 |
| 1295237774 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 105 E Granville Street, Windsor, NC 27983 | 2018-03-01 |
| 1013356138 | Rachel Dorothea Smith | Pharmacist | 119 U.S. Highway 13 Bypass, Windsor, NC 27983 | 2013-06-21 |
| 1689938219 | Rivers Edge Assisted Living | Assisted Living Facility | 205 W. Watson St., Windsor, NC 27983 | 2012-06-28 |
| 1336311034 | Health Care Options of The East | Home Health | 202 C Us 13 Bypass, Windsor, NC 27983 | 2008-04-02 |
| 1780740191 | Rachel's House | Residential Treatment Facility, Emotionally Disturbed Children | 336 Us 13-17 Hwy S, Windsor, NC 27983 | 2006-12-29 |
| 1730272436 | Uplift Comprehensive Services | Residential Treatment Facility, Emotionally Disturbed Children | 312 Sterlingworth Street, Windsor, NC 27983 | 2006-10-02 |
| 1568416055 | County of Bertie | Ambulance | 106 Dundee St, Windsor, NC 27983 | 2006-05-20 |
| 1376517185 | Mediport Inc | Non-emergency Medical Transport (VAN) | 344 School Road, Windsor, NC 27983 | 2006-02-16 |
| Find all providers in zip 27983 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396042933 | Kurt Porter | Nurse Anesthetist, Certified Registered | 8393 Cherry Blossom Dr, Windsor, CO 80550-8042 | 2011-02-17 |
| 1528061942 | Dennis William Heibein | Nurse Anesthetist, Certified Registered | 289 County Rd, Windsor, VT 05089-9000 | 2005-05-31 |
| 1437160454 | David Raymond Keith Sr. | Nurse Anesthetist, Certified Registered | 289 County Rd, Windsor, VT 05089-9000 | 2006-08-11 |
| 1265492219 | Susan F Bennett | Nurse Anesthetist, Certified Registered | 289 County Rd, Windsor, VT 05089-9000 | 2006-03-24 |
| 1114913597 | John H Jackson | Nurse Anesthetist, Certified Registered | 289 County Rd, Windsor, VT 05089-9000 | 2005-09-21 |
| 1629064274 | Joseph F Reilly | Nurse Anesthetist, Certified Registered | 289 County Rd, Windsor, VT 05089-9000 | 2005-09-20 |
| 1588664742 | Jon David Bennett | Nurse Anesthetist, Certified Registered | 289 County Rd, Windsor, VT 05089-9000 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559800 | Caroline Traczyk | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd # Hafs6670, Durham, NC 27705-4699 | 2020-08-18 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1023657426 | Sarah Kuhn | Nurse Anesthetist, Certified Registered | 300 Long Shoals Rd Apt 1l, Arden, NC 28704-7717 | 2020-01-02 |
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1730728270 | Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | 1730 Kernersville Medical Pkwy, Ste 304, Kernersville, NC 27284-7198 | 2020-01-02 |
| 1790334274 | Jocelyn Claire Hoffmann | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Bldg Room6670, Durham, NC 27705-4699 | 2019-09-08 |
| 1033766670 | Apex Anesthesia Inc | Nurse Anesthetist, Certified Registered | 3031 New Bern Ave Ste 100, Raleigh, NC 27610-2989 | 2019-08-19 |
| 1588219307 | Yerilis Ortiz Vazquez | Nurse Anesthetist, Certified Registered | 1000 Central Ave Apt 137, Charlotte, NC 28204-2273 | 2019-08-08 |
| 1992359905 | Andrea Nicole Magri | Nurse Anesthetist, Certified Registered | 1924 W Academy St, Winston Salem, NC 27103-3779 | 2019-07-29 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.