Jefferson Krawulski Souza (NPI# 1316180425, PAC ID# 0547306748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1316180425 |
PAC ID by PECOS | 0547306748 |
Professional Enrollment ID | I20091001000089 |
Full Name | Jefferson Krawulski Souza |
Organization Legal Name | MEDSTREAM ANESTHESIA PLLC |
Address |
2829 E Hwy 76 Mullins SC 29574-6035 |
Phone Number | 8283985244 |
Gender | M |
Graduation Year | 2009 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 7416198049 |
Number of Group Practice Members | 434 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420055 | CAROLINAS HOSPITAL SYSTEM MARION |
420004 | MUSC MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2829 E Hwy 76, Mullins, SC 29574-6035 | 8283985244 | MEDSTREAM ANESTHESIA PLLC |
Organization Legal Name | MEDSTREAM ANESTHESIA PLLC |
Physicians | 374 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric Andrew Fleck | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 320 W Main St, White Sulphur Springs, WV 24986-2414 |
Liesel E.a. Leedy | Anesthesiology | Medstream Anesthesia Pllc | 3241 Sw 34th St, Ocala, FL 34474-7439 |
Kittipong Burt Srisuwan | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 304 Medical Park Dr, Walterboro, SC 29488-5743 |
Gina Brigitte Justis | Anesthesiology | Medstream Anesthesia Pllc | 1500 Sw 1st Ave, Ocala, FL 34471-6504 |
Timothy Joe Carter Ii | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 421 S Main St, Crossville, TN 38555-5048 |
Nathan G Fell | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 430 Main St, Oak Hill, WV 25901-3484 |
Sarah M Hewitt | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 |
Richard C Franklin | Anesthesiology | Medstream Anesthesia Pllc | 566 Ruin Creek Rd, Henderson, NC 27536-2927 |
Cynthia L Kappler | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1710 Harper Rd, Beckley, WV 25801-3397 |
Timothy Whalen | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 830 Rockford St, Mount Airy, NC 27030-5322 |
Street Address |
2829 E HWY 76 |
City | MULLINS |
State | SC |
Zip | 29574-6035 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher Anderson | Emergency Medicine | App of South Carolina Ed Pllc | 2829 E Hwy 76, Mullins, SC 29574-6035 |
Kenneth C Staples | Emergency Medicine | App of South Carolina Ed Pllc | 2829 E Hwy 76, Mullins, SC 29574-6035 |
Stuart Alva Smith | Emergency Medicine | App of South Carolina Ed Pllc | 2829 E Hwy 76, Mullins, SC 29574-6035 |
Robert O Schweitzer | Certified Registered Nurse Anesthetist | Medstream Anesthesia Pllc | 2829 E Hwy 76, Mullins, SC 29574-6035 |
Raymond Craig Collins | Anesthesiology | Medstream Anesthesia Pllc | 2829 E Hwy 76, Mullins, SC 29574-6035 |
Name | Specialty | Organization | Address |
---|---|---|---|
Iris M Floyd Norris | Family Medicine | Carolina Family Care Inc | 2845 E Hwy 76, Suite 7, Mullins, SC 29574 |
Daniel Ng | Cardiovascular Disease (cardiology) | Carolina Family Care Inc | 2845 E Hwy 76, Suite 5, Mullins, SC 29574 |
Frederick J Hamilton | Orthopedic Surgery | Carolina Family Care Inc | 2845 E Hwy 76, Suite 5, Mullins, SC 29574 |
Chadwick V Thomas | General Surgery | Carolina Family Care Inc | 119 W Lowman St, Mullins, SC 29574-3107 |
Parakkat Gopalakrishnan | General Surgery | Carolina Family Care Inc | 119 W Lowman St, Mullins, SC 29574-3107 |
Robert Louis De Grood | General Surgery | Carolina Family Care Inc | 119 W Lowman St, Mullins, SC 29574-3107 |
Mitchell E Falk | Chiropractic | 270 S Main St, Spine Care Center, Mullins, SC 29574-3120 | |
Ricky Lee Kidman | Physician Assistant | Medical University Hospital Authority | 511 S Main St, Mullins, SC 29574-3509 |
Gangatharan Mathisuthan | Internal Medicine | Medical University Hospital Authority | 511 S Main St, Mullins, SC 29574-3509 |
Kathy M Thompkins | Nurse Practitioner | 1002 S Main St, Mullins, SC 29574-3920 | |
Find all physicians in zip 29574 |
City | MULLINS |
Zip Code | 29574 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | MULLINS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jefferson Krawulski Souza.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.