MICHAEL DALTON BROCK (NPI# 1194876862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194876862 |
| Entity Type | Individual |
| Full Name | MICHAEL DALTON BROCK |
| Credential | CRNA |
| Practice Address |
701 Grove Rd 2nd Floor Anesthesia Dept Greenville SC 29605 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644557111 |
| Practice Fax Number | 8644540888 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3110 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AN1545 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003161282 | Michael George Brock | Psychologist | 2514 Biddle Avenue, Wyandotte, MI 48192 | 2012-07-13 |
| 1740452804 | Michael K Brock | Physical Therapist | 2030 E County Line Rd Unit M, Highlands Ranch, CO 80126-2439 | 2008-03-29 |
| 1639241102 | Michael E. Brock | Family Medicine | 2920 Winchester Ave, Suite 1, Ashland, KY 41101-1962 | 2006-11-14 |
| 1629051198 | Michael P Brock | Podiatrist | 10530 Harrison Ave, Harrison, OH 45030-2141 | 2005-11-29 |
| 1316430945 | Michael Brock | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2018-06-08 |
| 1417290909 | Michael L. Brock | Counselor | 12800 Hillcrest Rd, Suite A126, Dallas, TX 75230 | 2013-04-03 |
| 1780945477 | Michael Alan Brock | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-05-30 |
| 1558415091 | Michael Richard Brock | Adult Companion | 310 Nw Flanders St, Portland, OR 97209-3941 | 2007-01-22 |
| 1740351121 | Michael Brock | Counselor | 7 Haviland St, Boston, MA 02115-2683 | 2006-11-10 |
| Street Address |
701 GROVE RD 2ND FLOOR ANESTHESIA DEPT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002807 | Patricia A Stawaisz | Nurse Anesthetist, Certified Registered | 701 Grove Rd, Greenville, SC 29605-5611 | 2005-06-09 |
| 1851992648 | Sarah Sosebee | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-06 |
| 1942801097 | Kristin Cherie Davis | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1679174650 | Kristin Welborn | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1407457666 | Carmen Michele Faulkner-fennell | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-04 |
| 1134720568 | Amanda Parker | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-03 |
| 1053911693 | Ryan Walter Ridgeway | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-30 |
| 1891395083 | Tyler Kraft | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1912507062 | Courtney Danielle Reddig | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1063012128 | Adrienne Eubanks Bundrick | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1063905867 | Kelsey Squires Lennon | Nurse Anesthetist, Certified Registered | 101 Reedy View Dr Apt 174, Greenville, SC 29601-1827 | 2018-06-07 |
| 1457807794 | Freelance Anesthesia Mississippi, LLC | Nurse Anesthetist, Certified Registered | 1746 Highway 1 S Ste C, Greenville, MS 38701-7817 | 2016-08-28 |
| 1255702007 | Jane Elizabeth Donnan | Nurse Anesthetist, Certified Registered | 1313 E North St, Greenville, SC 29607-1355 | 2015-10-19 |
| 1255756631 | Uriah Gabriel Magill | Nurse Anesthetist, Certified Registered | 2205a Sweet Bay Dr, Greenville, NC 27834-2535 | 2014-02-21 |
| 1609130889 | Dara Mclean Johnston | Nurse Anesthetist, Certified Registered | 2080b W Arlington Blvd Ste B, Greenville, NC 27834 | 2012-07-02 |
| 1477828200 | Nancy Camille Blake | Nurse Anesthetist, Certified Registered | 202 Woodhaven Rd, Greenville, NC 27834-6920 | 2012-03-12 |
| 1811122278 | James Derrick Calvert | Nurse Anesthetist, Certified Registered | 200 Patewood Dr Ste B100, Greenville, SC 29615-6320 | 2009-05-28 |
| 1023294543 | Ashlie Pruett Ceips | Nurse Anesthetist, Certified Registered | 701 Grove Road/or, Greenville, SC 29605-4210 | 2008-01-15 |
| 1588786644 | Jennifer Martin Yow | Nurse Anesthetist, Certified Registered | One St. Francis Drive, Greenville, SC 29601-3955 | 2007-04-06 |
| 1811948482 | Janet T Guggenheim | Nurse Anesthetist, Certified Registered | 1 Independence Pt, Suite 212, Greenville, SC 29615 | 2006-05-16 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on MICHAEL DALTON BROCK.
| 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.