Larry D Neupert (NPI# 1356459390, PAC ID# 2567641038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1356459390 |
| PAC ID by PECOS | 2567641038 |
| Professional Enrollment ID | I20150817002906 |
| Full Name | Larry D Neupert |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Address |
200 Hospital Ave Jefferson NC 28640-9244 |
| Phone Number | 3368467101 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3971566761 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341325 | ASHE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Hospital Ave, Jefferson, NC 28640-9244 | 3368467101 | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| 300 W 27th St, Lumberton, NC 28358-3075 | 9106715000 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Physicians | 113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ethan James Hazelrigs | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 2536 Lengers Way, Fort Mill, SC 29707-7126 |
| Ann Thimsen Pflugrath | Anesthesiology | Providence Anesthesiology Associates Pa | 209 E Carver St, Durham, NC 27704-2133 |
| Adelle R Anthony Williams | Anesthesiology | Providence Anesthesiology Associates Pa | 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 |
| Michael J Mcnelis | Anesthesiology | Providence Anesthesiology Associates Pa | 10030 Gilead Rd, Huntersville, NC 28078-7545 |
| Mark M Vogelhut | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Providence Rd, Charlotte, NC 28207-1437 |
| Bruce J Denenny | Anesthesiology | Providence Anesthesiology Associates Pa | 1720 Davie Ave, Statesville, NC 28677-3522 |
| Ted Vance | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Charlotte, NC 28207-1235 |
| Freeman R Jackson Jr. | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Steven T Hobgood | Anesthesiology | Providence Anesthesiology Associates Pa | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 |
| Courtney Ann Castoro | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
200 HOSPITAL AVE |
| City | JEFFERSON |
| State | NC |
| Zip | 28640-9244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaurav R Shah | Nephrology | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2346 |
| Lisa Trabucco | Nurse Practitioner | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2338 |
| George E Wadsworth | Nurse Practitioner | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2338 |
| Priya V Negandhi | Internal Medicine | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2338 |
| Ankush K Bansal | Internal Medicine | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2346 |
| Resham Khilnani | Nephrology | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2346 |
| Aaron M Reames | Physician Assistant | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2346 |
| Katherine A Averill | Obstetrics/gynecology | Ashe Financial Services LLC | 200 Hospital Ave, Suite 3, Jefferson, NC 28640-9244 |
| Sharon Patricia Dilley | Internal Medicine | Ashe Financial Services LLC | 200 Hospital Ave, Jefferson, NC 28640-9244 |
| Mark A Kuzich | Critical Care (intensivists) | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2338 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolas Cameron | Physical Therapy | Schuster Physical Therapy Inc | 419 E Main St, Jefferson, NC 28640-8984 |
| Molly B Reynolds | Physical Therapy | Schuster Physical Therapy Inc | 419 E Main St, Jefferson, NC 28640-8984 |
| Emily C Wilson | Physical Therapy | Schuster Physical Therapy Inc | 419 E Main St, Jefferson, NC 28640-8984 |
| Tracy-lynn Schuster | Physical Therapy | Schuster Physical Therapy Inc | 419 E Main St, Jefferson, NC 28640-8984 |
| George E Fleming Jr. | Emergency Medicine | Jefferson Emergency Services Pllc | 200 Hospital Ave, Jefferson, NC 28640-9244 |
| Ronald W Benfield | Orthopedic Surgery | Ashe Financial Services LLC | 200 Hospital Ave, Suite 3, Jefferson, NC 28640-9244 |
| Khurram B Tariq | Internal Medicine | Watauga Medical Center Inc | 200 Hospital Ave, Jefferson, NC 28640-9244 |
| Ian Welliver | Physician Assistant | Ashe Financial Services LLC | 200 Hospital Ave, Jefferson, NC 28640-9244 |
| Sebrina H Phillips | Nurse Practitioner | Charles W Jones Md Pa | 200 Hospital Ave, Suite 5, Jefferson, NC 28640-9244 |
| Cathy G Clark | Nurse Practitioner | Ashe Memorial Hospital Inc | 200 Hospital Ave, Jefferson, NC 28640-9244 |
| Find all physicians in zip 28640 | |||
| City | JEFFERSON |
| Zip Code | 28640 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JEFFERSON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.