SCOTT LEROY AXTELL (NPI# 1568027233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568027233 |
| Entity Type | Individual |
| Full Name | SCOTT LEROY AXTELL |
| Practice Address |
2301 Erwin Road Dumc 3094, Hafs Bldg. Room 6670 Durham NC 27705 |
| Mailing Address |
312 Sparta Ln Apex NC 27502-1217 |
| Practice Telephone | 9196680289 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 253215 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 ERWIN ROAD DUMC 3094, HAFS BLDG. ROOM 6670 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094509 | Duke University Health System, Inc. | Clinic/Center | 2301 Erwin Road, Durham, NC 27710-0001 | 2005-06-27 |
| 1144840109 | Omar Ali Jarral | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27705 | 2020-04-20 |
| 1861021834 | Brian Alexander Barron | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27710-4000 | 2020-04-02 |
| 1023646411 | Deborah Kathleen Rose | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27710-4699 | 2020-03-31 |
| 1730742735 | Mary-jo Obeid | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27705 | 2019-04-16 |
| 1760944425 | Joshua D Jackson | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27710-4132 | 2019-04-02 |
| 1063973147 | Ceshae Harding | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27710-4699 | 2019-03-29 |
| 1558822866 | Stephen Michael Bergin | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27710-1000 | 2019-03-28 |
| 1467945311 | Angel Lee | Nurse Anesthetist, Certified Registered | 2301 Erwin Road, Hafs Bldg Rm 6670, Durham, NC 27707 | 2018-06-14 |
| 1942797501 | Rahul R Gentyala | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27710 | 2018-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
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| 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 |
|---|---|---|---|---|
| 1316559800 | Caroline Traczyk | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd # Hafs6670, Durham, NC 27705-4699 | 2020-08-18 |
| 1790334274 | Jocelyn Claire Hoffmann | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Bldg Room6670, Durham, NC 27705-4699 | 2019-09-08 |
| 1801355474 | Feven Measho | Nurse Anesthetist, Certified Registered | Duke University Hospital 2301 Erwin Rd Durham Nc 27710, Durham, NC 27710-0001 | 2019-03-13 |
| 1710461694 | Kevin Tirado Roman | Nurse Anesthetist, Certified Registered | 2301 Edwin Rd, Durham, NC 27710-0001 | 2018-09-18 |
| 1477062966 | Elena Bogdanova | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Dumc 3094, Hafs Building Room 6670, Durham, NC 27710-0001 | 2017-09-27 |
| 1962852400 | Arnon Chamkasem | Nurse Anesthetist, Certified Registered | 5147 Torrey Pine Ln, Durham, NC 27713-6219 | 2016-06-15 |
| 1275989006 | Kenneth Madlangbayan | Nurse Anesthetist, Certified Registered | 207 Aaron Cir, Durham, NC 27713-2182 | 2016-05-11 |
| 1417254673 | Magdalena Sylwia Sobczyk | Nurse Anesthetist, Certified Registered | 5213 S. Alston Ave, Durham, NC 27713-4430 | 2011-02-23 |
| 1831259167 | Kelly Lochmuller | Nurse Anesthetist, Certified Registered | Dumc, 307 Trent Drive, Durham, NC 27710-0001 | 2006-12-08 |
| 1942315593 | Alaine Leslie Pribisko | Nurse Anesthetist, Certified Registered | Duke Medicine, Erwin Road, Durham, NC 27710-0001 | 2006-08-21 |
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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.