CAROL E. PETHEL (NPI# 1215269147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215269147 |
| Entity Type | Individual |
| Full Name | CAROL E. PETHEL |
| Credential | CRNA |
| Practice Address |
800 N Fant St Anderson SC 29621-5708 |
| Practice Telephone | 8645121340 |
| Practice Fax Number | 8645121749 |
| Mailing Telephone | 8645121417 |
| Mailing Fax Number | 8645121823 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 083407 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BLUECROSS BLUESHIELD OF SC | NPI/SSN | 01 |
| SC | SELECT HEALTH OF SC | 20101737 | 01 |
| SC | TRICARE (HUMANA) | NPI # | 01 |
| SC | AN2036 | 05 | |
| SC | BLUECHOICE OF SC | NPI/SSN | 01 |
| SC | RAILROAD MEDICARE | P00911158 | 01 |
| Street Address |
800 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182262 | Sarah Anne Cummings | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2005-05-30 |
| 1922623677 | Ivy Ray | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1003431701 | Jennifer E Thompson | Pharmacist | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1174165054 | Heather Marshall Ford | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-10-12 |
| 1700349206 | Carleen O'connell | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2019-04-11 |
| 1942769666 | Dharti Patel | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-13 |
| 1760940225 | Meredith H Hargrove | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-04 |
| 1780169276 | Brent Austin Harris | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2018-10-01 |
| 1356826929 | Donna Annette Patterson | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2018-09-30 |
| 1174002059 | Ich Er Services, LLC | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2018-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| 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 |
|---|---|---|---|---|
| 1962405399 | Jill R Erickson | Nurse Anesthetist, Certified Registered | 1655 E Greenville St, Anderson, SC 29621-2062 | 2005-05-31 |
| 1730182262 | Sarah Anne Cummings | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2005-05-30 |
| 1790329621 | Nikita Patel | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-11-04 |
| 1780246819 | Joel Brian Denis | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-06-28 |
| 1477069508 | Brittney Leigh Schiller | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2017-12-27 |
| 1922533058 | James David Beaty | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2017-04-26 |
| 1184171266 | Brandon Johnston | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2016-09-06 |
| 1477009488 | Natalie Alice Sanmiguel | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2016-08-30 |
| 1194182477 | Amir Sadri | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2016-01-18 |
| 1184002024 | Krysta Ramey | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2015-05-12 |
| Find all providers in ANDERSON | ||||
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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.