CAROLINA REGIONAL ANESTHESIA PLLC (NPI# 1891072609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891072609 |
| Entity Type | Organization |
| Organization Name | CAROLINA REGIONAL ANESTHESIA PLLC |
| Practice Address |
205 Page Rd Pinehurst NC 28374-8749 |
| Mailing Address |
Po Box 4860 Murrells Inlet SC 29576-2698 |
| Practice Telephone | 8009517580 |
| Mailing Telephone | 8009517580 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | MR. JEFFREY N CAUDLE (MANAGING MEMBER) |
| Authorized Official Telephone | 8283227305 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 PAGE RD |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745525 | David John Kersbergen | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2005-10-28 |
| 1770192700 | Jennifer Taylor Reid | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8798 | 2020-07-27 |
| 1477188019 | Laura Jo Love | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2020-03-04 |
| 1265902852 | Chelsea Marie Fairley | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374 | 2018-11-27 |
| 1417433145 | Carolina Nick | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2018-07-16 |
| 1295262103 | Mcpc-18, LLC | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-05-23 |
| 1447782776 | Gail C. Lowery | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-03-27 |
| 1275072753 | Skyler W Rogers | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374 | 2017-02-17 |
| 1902356579 | Sara K Erdwins | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-10-07 |
| 1235688284 | Savannah M Fodero | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| 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 |
|---|---|---|---|---|
| 1467596684 | James Richard Reed | Nurse Anesthetist, Certified Registered | 30 Lake View Dr E, Pinehurst, NC 28374-6930 | 2007-02-19 |
| 1437163722 | Michelle Sue Vincent | Nurse Anesthetist, Certified Registered | 10 First Vlg, Pinehurst, NC 28374-8725 | 2006-07-29 |
| 1952941031 | Jonathon P Portincasa | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-07 |
| 1912489725 | Viridiana C Morman | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-29 |
| 1689154494 | Joshua Falk | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-21 |
| 1386161768 | Brandi Tinsbloom | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2017-08-25 |
| 1184175176 | Katherine Titus-wells | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2016-10-14 |
| 1740638378 | Rebecca Swensen Adams | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2016-05-24 |
| 1295126043 | Joshua Fesel | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2015-02-16 |
| 1780083113 | Jenna Wilson | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2014-08-21 |
| Find all providers in PINEHURST | ||||
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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.