BLADEN HEALTHCARE, LLC (NPI# 1811163397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811163397 |
| Entity Type | Organization |
| Organization Name | BLADEN HEALTHCARE, LLC |
| Other Organization Name | CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL (ANESTHESIA DEPARTMENT) |
| Practice Address |
501 S Poplar St Elizabethtown NC 28337-9375 |
| Practice Telephone | 9108625179 |
| Practice Fax Number | 9108625129 |
| Mailing Telephone | 9108625179 |
| Mailing Fax Number | 9108625129 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MR. DAVID MASTERSON (CEO) |
| Authorized Official Telephone | 9108625178 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLADEN HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | H0154 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8000195 | 05 |
| Other Name | Type Code |
|---|---|
| Cape Fear Valley - Bladen County Hospital (Anesthesia Department) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700052289 | Bladen Healthcare, LLC | Clinic/Center | 300a E Mckay St, Elizabethtown, NC 28337-9037 | 2008-05-05 |
| 1417123993 | Bladen Healthcare, LLC | Clinic/Center | 1106 W Seaboard St, Bladenboro, NC 28320-6985 | 2008-05-05 |
| 1477729952 | Bladen Healthcare, LLC | Clinic/Center | 300 E Mckay Street, Elizabethtown, NC 28337 | 2008-05-05 |
| 1255507737 | Bladen Healthcare, LLC | Clinic/Center | 300-a East Mckay Street, Elizabethtown, NC 28337 | 2008-05-05 |
| 1689018756 | Bladen Healthcare, LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2013-04-19 |
| 1114193695 | Bladen Healthcare, LLC | Clinic/Center | 16 3rd Street, Dublin, NC 28332 | 2008-05-05 |
| 1205002789 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1841466323 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1750557237 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1669648143 | Bladen Healthcare, LLC | Family Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| Street Address |
501 S POPLAR ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337-9375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1942672845 | Paisley Emergency Physicians, LLC | Physician Assistant | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2015-10-30 |
| 1689018756 | Bladen Healthcare, LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2013-04-19 |
| 1306130695 | North Carolina Em-1 Medical Services, PC | Nurse Practitioner | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2011-06-03 |
| 1255624706 | Elwell Ferry Inpatient Services | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2011-05-17 |
| 1194053629 | First Flight Emergency Physicians LLC | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2009-11-20 |
| 1205002789 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1841466323 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1750557237 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1669648143 | Bladen Healthcare, LLC | Family Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| 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 |
|---|---|---|---|---|
| 1215105143 | Heartland Anesthesia Consultants Psc Crna Group | Nurse Anesthetist, Certified Registered | 639 North Mulberry Street, Crna Group, Elizabethtown, KY 42701 | 2008-02-13 |
| 1275683302 | Lisa Priddy | Nurse Anesthetist, Certified Registered | 639 North Mulberry, Elizabethtown, KY 42701 | 2007-01-11 |
| 1235120965 | Timothy James Bryant | Nurse Anesthetist, Certified Registered | 165 Sycamore Trace Rd, Elizabethtown, KY 42701-9545 | 2005-11-02 |
| 1326046434 | Larry John Yoder | Nurse Anesthetist, Certified Registered | 2408 1st Avenue, Elizabethtown, NC 28337 | 2005-07-12 |
| 1417563966 | Erica Ray | Nurse Anesthetist, Certified Registered | 639 N Mulberry St, Elizabethtown, KY 42701-1931 | 2020-09-21 |
| 1861048027 | Jessica Henry | Nurse Anesthetist, Certified Registered | 639 N Mulberry St, Elizabethtown, KY 42701-1931 | 2019-08-14 |
| 1144876301 | Adam Bland | Nurse Anesthetist, Certified Registered | 639 N Mulberry St, Elizabethtown, KY 42701-1931 | 2019-08-14 |
| 1366915621 | John Paul Garrity | Nurse Anesthetist, Certified Registered | Heartland Anesthesia Consultants, P.s.c., 639 North Mulberry Street, Elizabethtown, KY 42701-1931 | 2019-01-09 |
| 1386131852 | Armando Picon | Nurse Anesthetist, Certified Registered | Heartland Anesthesia Consultants, P.s.c., 639 North Mulberry Street, Elizabethtown, KY 42701-1931 | 2018-04-19 |
| 1013361740 | Dana Erickson | Nurse Anesthetist, Certified Registered | 639 N Mulberry St, Heartland Anesthesia Consultants, P.s.c., Elizabethtown, KY 42701-1931 | 2016-04-19 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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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.