ELITE ANESTHESIA, P A (NPI# 1497911515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497911515 |
| Entity Type | Organization |
| Organization Name | ELITE ANESTHESIA, P A |
| Practice Address |
1070 Vinehaven Dr Ne Dept of Anesthesia Concord NC 28025-2438 |
| Mailing Address |
Po Box 8846 Greensboro NC 27419-0846 |
| Practice Telephone | 7047831840 |
| Mailing Telephone | 3365531659 |
| Mailing Fax Number | 3365533994 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MR. MICHAEL ALLEN MAHLER (PRESIDENT) |
| Authorized Official Telephone | 7047010851 |
| Authorized Official Credential | CRNA |
| 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 | BCBS | 021MY | 01 |
| NC | 8000368 | 05 |
| Street Address |
1070 VINEHAVEN DR NE DEPT OF ANESTHESIA |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740245224 | Alison Jean Dominguez | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2006-04-19 |
| 1760961502 | Ishwari Amin | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2018-08-13 |
| 1508279043 | Kelsey Norkett Trull | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2014-06-03 |
| 1245670488 | Keshia D Wells | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2013-07-02 |
| 1699025957 | Elaine Britt Smith | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2012-09-14 |
| 1760748156 | Pavan Patel | Internal Medicine | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2012-04-10 |
| 1467626309 | Richard H Billings | Nurse Anesthetist, Certified Registered | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2008-04-22 |
| 1982899175 | Geanina Anghel | Internal Medicine | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2007-09-11 |
| 1912106998 | Matthew B Myers | Internal Medicine | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2007-07-11 |
| 1013048016 | Vinay Patel | Internal Medicine | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
| 1194748525 | Northeast Medical Center | Nurse Anesthetist, Certified Registered | 920 Church St, Concord, NC 28075 | 2006-07-26 |
| 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 |
| 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.