NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC (NPI# 1427697978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427697978 |
| Entity Type | Organization |
| Organization Name | NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC |
| Practice Address |
7210 Village Medical Circel Ste 235 Clemmons NC 27012 |
| Mailing Address |
101 N Cherry St Ste 600 Winston Salem NC 27101-4013 |
| Practice Telephone | 3368933100 |
| Practice Fax Number | 3368933109 |
| Mailing Telephone | 3362771604 |
| Mailing Fax Number | 3362779584 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | GERALD OSBORNE GREEN (ADMINISTRATOR ASC) |
| Authorized Official Telephone | 3362771782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AAAHC | 126701 | 01 |
| Other Name | Type Code |
|---|---|
| CRNA PRO FEES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| Street Address |
7210 VILLAGE MEDICAL CIRCEL STE 235 |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| 1649371402 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 3629 Clemmons Road, Clemmons, NC 27012 | 2006-09-26 |
| Find all providers in zip 27012 | ||||
| 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 |
|---|---|---|---|---|
| 1063481497 | Rose Kordich Doyle | Nurse Anesthetist, Certified Registered | 1817 Curraghmore Rd, Clemmons, NC 27012-8852 | 2006-03-16 |
| 1255316840 | Jonathan Richard Dunn | Nurse Anesthetist, Certified Registered | 5030 Woodmont Ridge Ct, Clemmons, NC 27012-9638 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559800 | Caroline Traczyk | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd # Hafs6670, Durham, NC 27705-4699 | 2020-08-18 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1023657426 | Sarah Kuhn | Nurse Anesthetist, Certified Registered | 300 Long Shoals Rd Apt 1l, Arden, NC 28704-7717 | 2020-01-02 |
| 1730728270 | Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | 1730 Kernersville Medical Pkwy, Ste 304, Kernersville, NC 27284-7198 | 2020-01-02 |
| 1790334274 | Jocelyn Claire Hoffmann | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Bldg Room6670, Durham, NC 27705-4699 | 2019-09-08 |
| 1033766670 | Apex Anesthesia Inc | Nurse Anesthetist, Certified Registered | 3031 New Bern Ave Ste 100, Raleigh, NC 27610-2989 | 2019-08-19 |
| 1588219307 | Yerilis Ortiz Vazquez | Nurse Anesthetist, Certified Registered | 1000 Central Ave Apt 137, Charlotte, NC 28204-2273 | 2019-08-08 |
| 1992359905 | Andrea Nicole Magri | Nurse Anesthetist, Certified Registered | 1924 W Academy St, Winston Salem, NC 27103-3779 | 2019-07-29 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
| 1275186181 | Ruth A Dimont | Nurse Anesthetist, Certified Registered | 4162 Westhaven Ave, Ayden, NC 28513-7090 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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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.