Otis B Burnett Iv (NPI# 1962662577, PAC ID# 2668616731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1962662577 |
| PAC ID by PECOS | 2668616731 |
| Professional Enrollment ID | I20130912000169 |
| Full Name | Otis B Burnett Iv |
| Organization Legal Name | EAST CAROLINA ANESTHESIA ASSOCIATES PLLC |
| Address |
1705 Tarboro St Sw Wilson NC 27893-3428 |
| Phone Number | 2523998040 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5092720813 |
| Number of Group Practice Members | 308 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340126 | WILSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2523998040 | EAST CAROLINA ANESTHESIA ASSOCIATES PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% |
| Organization Legal Name | EAST CAROLINA ANESTHESIA ASSOCIATES PLLC |
| Physicians | 287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique L Dennis | Nurse Practitioner | East Carolina Anesthesia Associates Pllc | 2410 Montgomery Dr Sw, Wilson, NC 27893-4421 |
| Jose Gabriel Avila Calles | Anesthesiology | East Carolina Anesthesia Associates Pllc | 2607 Medical Office Pl, Goldsboro, NC 27534-9437 |
| Carol S Swartz | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 2080 W Arlington Blvd, Suite B, Greenville, NC 27834-3770 |
| Laura L Depas | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 1801 S 17th St, Wilmington, NC 28401-6443 |
| Todd Y Sluder | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 218 Old Mocksville Rd, Statesville, NC 28625-1930 |
| Renee Simcoe Levine | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 2825 Randolph Rd, Charlotte, NC 28211-1018 |
| Terry C Wellman | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 2430 Emerald Pl, Suite 103, Greenville, NC 27834-5743 |
| Philip J Weisenhorn | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 50 13th Ave Ne, Suite 1, Hickory, NC 28601-3767 |
| Donald Brown | Anesthesiology | East Carolina Anesthesia Associates Pllc | 2430 Emerald Pl, Suite 103, Greenville, NC 27834-5743 |
| Harpreet K Nijher | Anesthesiology | East Carolina Anesthesia Associates Pllc | 2430 Emerald Pl, Suite 103, Greenville, NC 27834-5743 |
| Street Address |
1705 TARBORO ST SW |
| City | WILSON |
| State | NC |
| Zip | 27893-3428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Gibson | Certified Registered Nurse Anesthetist (crna) | Sheridan Anesthesia Healthcare of North Carolina PC | 1705 Tarboro St Sw, Wilson, NC 27893-3428 |
| Linda O Lathan | Nurse Practitioner | Rex Hospital Inc | 1705 Tarboro St Sw, Wilson, NC 27893-3428 |
| Yerilis Ortiz Vazquez | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 1705 Tarboro St Sw, Wilson, NC 27893-3428 |
| Laurie O Jordan | Anesthesiology | Sheridan Anesthesia Healthcare of North Carolina PC | 1705 Tarboro St Sw, Wilson, NC 27893-3428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Elizabeth Dean | Certified Registered Nurse Anesthetist (crna) | Carolina Anesthesia Associates Pa | 20402 Camden Swst, Suite 300, Wilson, NC 27893 |
| Medhat F Sidaros | Internal Medicine | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| James M Fitch | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Catherine Margaret Melin | Nurse Practitioner | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Wallace Royce Nelms Jr. | Family Medicine | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Leana Lefrapper Higgins | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Elizabeth Woods Oates | Psychiatry | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Chad W Cato | Chiropractic | 2000 Nash St N, Suite E, Wilson, NC 27893-1724 | |
| James M Bolton | Chiropractic | 2801 Ward Blvd, Suite 7a, Wilson, NC 27893-1752 | |
| Joyce S Smith | Nurse Practitioner | Skin Surgery Center Pa | 2874 Ward Blvd, Wilson, NC 27893-1761 |
| Find all physicians in zip 27893 | |||
| City | WILSON |
| Zip Code | 27893 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WILSON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Otis B Burnett Iv.
| 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.