REGAL ANESTHESIA, LLC (NPI# 1831337781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831337781 |
| Entity Type | Organization |
| Organization Name | REGAL ANESTHESIA, LLC |
| Practice Address |
2500 Starling St Suite 303 Brunswick GA 31520-4265 |
| Mailing Address |
Po Box 2197 Brunswick GA 31521-2197 |
| Practice Telephone | 9122809977 |
| Practice Fax Number | 9122809995 |
| Mailing Telephone | 9122809977 |
| Mailing Fax Number | 9122809995 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | CHARLES WILLIAM MITCHELL (MEMBER, MANAGER) |
| Authorized Official Telephone | 9122809977 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RENUE PLASTIC SURGERY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 STARLING ST SUITE 303 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387310 | Coleman David Sudduth Jr. | Internal Medicine | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2005-09-21 |
| 1811401854 | Sarah Renee Mobbs | Registered Nurse | 2500 Starling St, Brunswick, GA 31520 | 2017-11-29 |
| 1366987844 | Kristin Stenzel Orendorf | Nurse Practitioner | 2500 Starling St, Suite 501, Brunswick, GA 31520-4265 | 2016-12-20 |
| 1124576616 | Julie Small | Nurse Practitioner | 2500 Starling St, Suite 107, Brunswick, GA 31520-4265 | 2016-09-14 |
| 1083083547 | Laura Winkelman | Nurse Practitioner | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-15 |
| 1215305305 | Ahmed Elsharkawi, Md LLC | Internal Medicine | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-08 |
| 1619344223 | Elizabeth Blair Coleman | Physician Assistant | 2500 Starling St, Ste 403, Brunswick, GA 31520-4265 | 2015-08-31 |
| 1982967709 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Starling St, Suite 105 Seghs, Brunswick, GA 31520-4265 | 2012-06-18 |
| 1801166749 | Marion E Alston | Nurse Practitioner | 2500 Starling St, Suite 503, Brunswick, GA 31520-4265 | 2012-01-10 |
| 1376853507 | John F. Ellenberg, M.d., P.C. | Obstetrics & Gynecology | 2500 Starling St, 406, Brunswick, GA 31520-4265 | 2010-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1154970564 | Adam Wesley Harper | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2019-09-09 |
| 1801353081 | Mallory B Harris | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2019-02-25 |
| 1164986675 | Angela Michelle Hankins | Nurse Anesthetist, Certified Registered | 2301 Parkwood Dr, Brunswick, GA 31520-4720 | 2019-01-29 |
| 1013488220 | Shannon Lynne Monteleone | Nurse Anesthetist, Certified Registered | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2018-12-16 |
| 1790173193 | Laura Walsh | Nurse Anesthetist, Certified Registered | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2015-01-07 |
| 1790185387 | Glynn Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | 3217 4th St, Brunswick, GA 31520-3759 | 2014-09-02 |
| 1154744969 | Michael Grela | Nurse Anesthetist, Certified Registered | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2014-01-29 |
| 1255761227 | Lisa Haltiwanger | Nurse Anesthetist, Certified Registered | 2301 Parkwood Dr, Brunswick, GA 31520-4720 | 2013-11-12 |
| 1093055501 | John D Porzio V | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2013-02-20 |
| 1699076463 | Christina E Squires | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2010-11-10 |
| Find all providers in BRUNSWICK | ||||
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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.