AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC (NPI# 1174817993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174817993 |
| Entity Type | Organization |
| Organization Name | AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC |
| Other Organization Name | SOUTHEAST PAIN CARE |
| Practice Address |
927 East Blvd Charlotte NC 28203 |
| Mailing Address |
1500 Concord Ter Sunrise FL 33323-2815 |
| Practice Telephone | 7043775772 |
| Practice Fax Number | 7042485511 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 8446862961 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | DR. JOSHUA MILLER (PRESIDENT) |
| Authorized Official Telephone | 8002433839 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | QPB692 | 05 | |
| SC | RAILROAD-MEDICARE | DS7032 | 01 |
| NC | 5918189 | 05 | |
| NC | RAILROAD-MEDICARE | CB1276 | 01 |
| NC | BCBSNC | 025AG | 01 |
| Other Name | Type Code |
|---|---|
| Southeast Pain Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1942248547 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616 | 2006-06-03 |
| 1205304128 | American Anesthesiology of North Carolina, Pllc | Nurse Anesthetist, Certified Registered | 23 Sunnybrook Rd Ste 100, Raleigh, NC 27610-1874 | 2018-11-08 |
| 1053677195 | American Anesthesiology of North Carolina, Pllc | Nurse Anesthetist, Certified Registered | 1236 Huffman Mill Rd, Suite 2000, Burlington, NC 27215 | 2012-04-03 |
| 1609082718 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616 | 2007-05-15 |
| Street Address |
927 EAST BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780664896 | Dennis Michael Jacobs | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2006-01-17 |
| 1881053510 | Lori Foster | Nurse Practitioner | 927 East Blvd, Charlotte, NC 28203-5203 | 2016-02-23 |
| 1508241902 | Monica Wood | Nurse Practitioner | 927 East Blvd, Charlotte, NC 28203-5203 | 2015-07-27 |
| 1386934164 | Melody G. Herman | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2011-04-13 |
| 1023335551 | Anesthesiology Consultants of South Carolina, Pllc | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2010-04-23 |
| 1982839627 | Sara Ann Moseman | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-05-26 |
| 1619101367 | Kate K Miller | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-05-11 |
| 1215170204 | Kevin Francis Costello | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-04-07 |
| 1235392523 | Ryan Jackson Corley | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2008-07-07 |
| 1588837173 | James William Greyard | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1356658389 | Ashvin Amara | Anesthesiology | 6429 Bannington Rd Ste B, Charlotte, NC 28226-1345 | 2010-09-13 |
| 1548490709 | David Leroy Lewis Jr. | Anesthesiology | 1025 Morehead Street Medical Plaza Drive, Department of Anesthesiology, Charlotte, NC 28204 | 2009-07-22 |
| 1447217963 | Sarah Safia Yousuff | Anesthesiology | 4423 Sharon Rd, Charlotte, NC 28211-3520 | 2006-04-27 |
| 1396739884 | Providence Anesthesiology Associates, P.a. | Anesthesiology | 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 | 2005-09-11 |
| 1417371154 | Amara Pain & Spine Pllc | Anesthesiology | 6429 Bannington Rd Ste B, None, Charlotte, NC 28226-1345 | 2014-02-18 |
| 1104007319 | Troy C. Gingerich | Anesthesiology | 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 | 2007-11-15 |
| 1255396933 | Southeast Pain Management Services, Pllc | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2006-04-18 |
| 1598729063 | Richard In Park | Anesthesiology | 10502 Park Rd, Suite 150, Charlotte, NC 28210-8479 | 2006-04-13 |
| 1881658342 | Felix Ramon Muniz | Anesthesiology | 10502 Park Rd, Suite 150, Charlotte, NC 28210-8479 | 2006-04-13 |
| Find all providers in CHARLOTTE | ||||
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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.