KETAMINE WELLNESS INSTITUTE (NPI# 1356898720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356898720 |
| Entity Type | Organization |
| Organization Name | KETAMINE WELLNESS INSTITUTE |
| Practice Address |
414 Cosgrove Ave Chapel Hill NC 27514-5271 |
| Practice Telephone | 2032859174 |
| Mailing Telephone | 2032859174 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | MUHAMMAD ARIF ASHRAF (MEMBER) |
| Authorized Official Telephone | 2032859174 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
414 COSGROVE AVE |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| 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 |
|---|---|---|---|---|
| 1801214176 | Lauren Sylvester | Anesthesiology | N2198 Unc Hospital Cb # 7010, Chapel Hill, NC 27599 | 2014-04-02 |
| 1437544053 | Mikio Ranahan | Anesthesiology | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1598235830 | Mission Community Anesthesiology Specialists LLC | Anesthesiology | 89 Hospital Dr Ste C, Brevard, NC 28712-4838 | 2018-11-29 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1710336243 | Premier Pain Solutions Pllc | Anesthesiology | 1091 Hendersonville Rd Ste 101, Asheville, NC 28803-1893 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
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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.