BUTLAK ANESTHESIA SOLUTIONS, PA (NPI# 1013207679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013207679 |
| Entity Type | Organization |
| Organization Name | BUTLAK ANESTHESIA SOLUTIONS, PA |
| Practice Address |
1720 Davie Ave Statesville NC 28677 |
| Mailing Address |
400 E 10th St Waconia MN 55387-4552 |
| Practice Telephone | 8882090305 |
| Practice Fax Number | 9524423620 |
| Mailing Telephone | 8882090305 |
| Mailing Fax Number | 9524423620 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | DAVID J BUTLAK (PRESIDENT) |
| Authorized Official Telephone | 9524429770 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 218 Old Mocksville Rd, Statesville, NC 286251930 | 7048730281 | 9524423620 |
| Street Address |
1720 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437269800 | Iredell Surgical Associates, LLP | Clinic/Center | 1720 Davie Ave, Statesville, NC 28677-3522 | 2006-08-30 |
| 1811011323 | Eugene C Wells | Anesthesiology | 1720 Davie Ave, Statesville, NC 28677-3522 | 2007-03-19 |
| 1689733925 | Eugene C Wells Md Pa | Anesthesiology | 1720 Davie Ave, Statesville, NC 28677 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| 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 |
|---|---|---|---|---|
| 1699723791 | Carolina Anesthesia Associates Pa | Nurse Anesthetist, Certified Registered | 646 Hartness Road, Statesville, NC 28677 | 2006-05-04 |
| 1255807517 | Sarah E Pagano | Nurse Anesthetist, Certified Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2018-10-15 |
| 1366778383 | Katherine Hill Long | Nurse Anesthetist, Certified Registered | 557 Brookdale Drive, Statesville, NC 28677 | 2009-10-27 |
| 1649416462 | Toni Fortner | Nurse Anesthetist, Certified Registered | 557 Brookdale Drive, Statesville, NC 28677 | 2008-12-29 |
| 1679719546 | Ronald Butler | Nurse Anesthetist, Certified Registered | 557 Brookdale Drive, Statesville, NC 28677 | 2008-12-26 |
| 1285849760 | Statesville Hma, LLC | Nurse Anesthetist, Certified Registered | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2007-05-10 |
| 1558372300 | Kimberly D Tribo | Nurse Anesthetist, Certified Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2006-08-10 |
| 1841201613 | Elizabeth Randleman | Nurse Anesthetist, Certified Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2006-08-10 |
| 1336150192 | Winnie Tuck | Nurse Anesthetist, Certified Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2006-08-10 |
| 1053322529 | Stacey Schlesinger | Nurse Anesthetist, Certified Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2006-08-10 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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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.