MELISSA SUE MOUGH (NPI# 1629439104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629439104 |
| Entity Type | Individual |
| Full Name | MELISSA SUE MOUGH |
| Credential | CRNA |
| Practice Address |
416 Gardner Point Dr Stony Point NC 28678-9039 |
| Practice Telephone | 6162601803 |
| Mailing Telephone | 6162601803 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN2306307 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
416 GARDNER POINT DR |
| City | STONY POINT |
| State | NC |
| Zip Code | 28678-9039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528097441 | Mack's 1st Rx Pharmacy Inc | Pharmacy | 8782 Nc Hwy 90 E, Stony Point, NC 28678 | 2006-07-02 |
| 1184113953 | Melissa C Bass | Pharmacist | 8782 Nc Hwy 90 E, Stony Point, NC 28678 | 2018-05-07 |
| 1225143936 | Stony Point Family Medicine Pa | Physician Assistant | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2006-08-20 |
| 1477053718 | Krystal M Coleman | Nurse Practitioner | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2018-02-13 |
| 1548796584 | Statesville Hma Medical Group, LLC | Family Medicine | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2017-05-11 |
| 1215044045 | Robert Dean Swedlund | Physician Assistant | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2006-08-25 |
| 1215568217 | Front Porch Wellness | Nurse Practitioner | 307 Gardner Point Dr, Stony Point, NC 28678-8998 | 2020-01-29 |
| 1215037700 | Duramedix Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4837 Taylorsville Hwy, Stony Point, NC 28678-9050 | 2006-09-24 |
| 1104177401 | Orthotic Care LLC | Durable Medical Equipment & Medical Supplies | 4837 Taylorsville Hwy, Stony Point, NC 28678-9050 | 2012-09-26 |
| 1124591623 | Sonya Lynn Grant | Physical Therapy Assistant | 165 Jordan Crest Ln, Stony Point, NC 28678-9171 | 2019-01-07 |
| Find all providers in zip 28678 | ||||
| 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 |
| 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 |
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 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 |
| Find all providers with the same taxonomy | ||||
| City | STONY POINT |
| Zip Code | 28678 |
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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.