Ted Vance (NPI# 1053330811, PAC ID# 2769572882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1053330811 |
| PAC ID by PECOS | 2769572882 |
| Professional Enrollment ID | I20071213000192 |
| Full Name | Ted Vance |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Address |
131 Providence Rd Charlotte NC 28207-1235 |
| Gender | M |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 3971566761 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340039 | IREDELL MEMORIAL HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 131 Providence Rd, Charlotte, NC 28207-1235 | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA | |
| 557 Brookdale Dr, Statesville, NC 28677-4107 | 7048735661 | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| 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 |
| 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 |
| Kim Blumberg | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
131 PROVIDENCE RD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28207-1235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary J Lewis | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 131 Providence Rd, Charlotte, NC 28207-1235 |
| John Sandoval | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 200, Charlotte, NC 28207-1235 |
| Paul J Fronapfel | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 200, Charlotte, NC 28207-1235 |
| Brendan John Kiel | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 200, Charlotte, NC 28207-1235 |
| John Wilcox Meyer | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 200, Charlotte, NC 28207-1235 |
| Justin Upp | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Charlotte, NC 28207-1235 |
| Daniel C Barnette | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 200, Charlotte, NC 28207-1235 |
| Samuel C Sayson | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 200, Charlotte, NC 28207-1235 |
| Sarah Moss | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 200, Charlotte, NC 28207-1235 |
| Krishnamohan Baddigam | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Suite 201, Charlotte, NC 28207-1235 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Rudisel | Internal Medicine | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Philip M Dayvault | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Tyler L Carllee | Orthopedic Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Lindsay C Collins | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen L Alford | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Marcie Heslop Siebert | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Eric C Heckman | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Shannon Mullaly | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Timothy A Boyd | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Raymond G Gaston | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in zip 28207 | |||
| City | CHARLOTTE |
| Zip Code | 28207 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | CHARLOTTE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Ted Vance.
| 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.