MR. JOHN R SHULSE (NPI# 1780863068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780863068 |
| Entity Type | Individual |
| Full Name | MR. JOHN R SHULSE |
| Practice Address |
1602 Physicians Dr Ste 104 Wilmington NC 28401-7350 |
| Mailing Address |
721 Woodland Forest Ct Wilmington NC 28403-8832 |
| Practice Telephone | 9104421100 |
| Practice Fax Number | 9104421199 |
| Mailing Telephone | 9106328534 |
| Mailing Fax Number | 9104421199 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 15959 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1602 PHYSICIANS DR STE 104 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1588033450 | Amy Landis Formyduval | Nurse Anesthetist, Certified Registered | 6404 Spicewood St, Wilmington, NC 28405-7756 | 2015-09-21 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1316210388 | Anesthesia Care Associates Inc. LLC | Nurse Anesthetist, Certified Registered | 7 Madelyn Ave, Wilmington, DE 19803-3964 | 2012-02-21 |
| 1891020103 | Jessica Lynn Jeffries | Nurse Anesthetist, Certified Registered | 5003 Lady Fern Ct, Wilmington, NC 28409-3976 | 2009-10-05 |
| 1073652780 | Sharon A Griffith | Nurse Anesthetist, Certified Registered | 807 W Main St, Wilmington, OH 45177-0868 | 2007-02-06 |
| 1073662839 | Paula Kay Lavigne | Nurse Anesthetist, Certified Registered | 1415 Medical Center Dr, Wilmington, NC 28401 | 2007-01-10 |
| 1033142765 | Cynthia Merrell | Nurse Anesthetist, Certified Registered | 2131 South 17th Street, Wilmington, NC 28401 | 2006-07-08 |
| 1902836059 | Ellen Cosby | Nurse Anesthetist, Certified Registered | 2005 Limestone Rd, Suite 5, Wilmington, DE 19808-5505 | 2006-07-04 |
| 1518997626 | Aleen Joy Wilker | Nurse Anesthetist, Certified Registered | 7th and Clayton Sts, 4th Floor Anesthesia, Wilmington, DE 19805 | 2006-07-04 |
| 1528096328 | William Keith Sturniolo | Nurse Anesthetist, Certified Registered | 5102 Masonboro Harbor Dr, Wilmington, NC 28409-4154 | 2006-06-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on MR. JOHN R SHULSE.
| 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.