NORTHEAST MEDICAL CENTER (NPI# 1194748525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194748525 |
Entity Type | Organization |
Organization Name | NORTHEAST MEDICAL CENTER |
Practice Address |
920 Church St Concord NC 28075 |
Mailing Address |
12729 Kane Alexander Dr Huntersville NC 28078-3775 |
Practice Telephone | 7047831622 |
Mailing Telephone | 7049920527 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. JENNIFER LYNN ZOBA (NURSE ANESTHETIST) |
Authorized Official Telephone | 7047831622 |
Authorized Official Credential | CRNA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 173393 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8051934 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTHEAST MEDICAL CENTER HOME HEALTH | 2001 N Center St, Bonham, TX 75418-2625 |
Street Address |
920 CHURCH ST |
City | CONCORD |
State | NC |
Zip Code | 28075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
1043726250 | Megan M. Raynor, Dmd, Pllc | Clinic/Center | 5500 Highway 49 South, Suite 100, Harrisburg, NC 28075 | 2017-12-26 |
1760994008 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 4055 Harris Square Dr, Harrisburg, NC 28075 | 2017-10-26 |
1578085783 | Trey Wyate Miller | Dentist | 4291 School House Commons, Harrisburg, NC 28075 | 2017-07-10 |
1700320850 | R. Barrows & Associates II PC | Dentist | 7230 Caldwell Road, Harrisburg, NC 28075 | 2016-12-08 |
1699125393 | Megan Morse Raynor | Dentist | 5500 Hwy 49 South, Suite 100, Harrisburg, NC 28075 | 2016-06-14 |
1740642289 | Bradley William Lind | Podiatrist | 3800 Hwy 49 South, Harrisburg, NC 28075 | 2016-03-23 |
1578870630 | David A Hysell | Physical Therapist | 8555 Magnolia Springs Dr, Harrisburg, NC 28075 | 2010-09-09 |
1124248331 | Harrisburg Pharmacy Services Inc | Pharmacy | 4310 Physicians Blvd, Harrisburg, NC 28075 | 2007-04-27 |
1194845578 | Andrea Jean Dobrich | Chiropractor | 116 Candystick Circle, Harrisburg, NC 28075 | 2007-03-30 |
Find all providers in zip 28075 |
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 |
---|---|---|---|---|
1437622800 | Bryan Do | Nurse Anesthetist, Certified Registered | 1036 Oak Grove Rd Apt 22, Concord, CA 94518-3233 | 2019-01-08 |
1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
1194148593 | Kerry Ann Gallagher | Nurse Anesthetist, Certified Registered | 1987 Quail Dr Nw, Concord, NC 28027-8876 | 2014-01-22 |
1326383100 | Kyle C Anderson | Nurse Anesthetist, Certified Registered | 22 Bridge St Ste 9, Concord, NH 03301-4987 | 2012-12-04 |
1548401789 | Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1025 Ne Gateway Ct, Concord, NC 28025-2440 | 2009-03-18 |
1447206479 | Sherri Lynn Reynolds | Nurse Anesthetist, Certified Registered | 860 Craigmont Ln Nw, Concord, NC 28027-6442 | 2006-05-25 |
1962451385 | Karyl Heritage Mcclellan | Nurse Anesthetist, Certified Registered | 1025 Northeast Gateway Ct, Ne, Concord, NC 28025 | 2006-05-10 |
1801894845 | Pamela Elizabeth Chadwick | Nurse Anesthetist, Certified Registered | 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | 2005-07-13 |
1386647808 | Leanne Smith | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2005-05-30 |
1831712520 | Margaret Davis Mcdonell | Nurse Anesthetist, Certified Registered | 250 Pleasant St, Concord, NH 03301-7559 | 2020-05-28 |
Find all providers in CONCORD |
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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.