Ethan James Hazelrigs (NPI# 1073917589, PAC ID# 4587988928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1073917589 |
| PAC ID by PECOS | 4587988928 |
| Professional Enrollment ID | I20190325002785 |
| Full Name | Ethan James Hazelrigs |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Address |
2536 Lengers Way Fort Mill SC 29707-7126 |
| Phone Number | 8038029500 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3971566761 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2536 Lengers Way, Fort Mill, SC 29707-7126 | 8038029500 | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Physicians | 113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Kim Blumberg | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
2536 LENGERS WAY |
| City | FORT MILL |
| State | SC |
| Zip | 29707-7126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evens Jean-pierre | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 2536 Lengers Way, Fort Mill, SC 29707-7126 |
| Danny Ray Robinson Jr. | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 2536 Lengers Way, Fort Mill, SC 29707-7126 |
| Andrew William Wittchow | Physician Assistant | Orthocarolina, Pa | 2536 Lengers Way, Fort Mill, SC 29707-7126 |
| Christine C Cowan | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 2536 Lengers Way, Fort Mill, SC 29707-7126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adediji Osinloye | Internal Medicine | Palmetto Medical Group, Pllc | 1040 Edgewater Corp Pkwy, Suite 101, Indian Land, SC 29707 |
| Shephali Patel | Family Medicine | Palmetto Medical Group, Pllc | 1040 Edgewater Corp Pkwy, Suite 101, Indian Land, SC 29707 |
| Nimish K Patel | Family Medicine | Palmetto Medical Group, Pllc | 1040 Edgewater Corp Pkwy, Suite 101, Indian Land, SC 29707 |
| Amit G Shah | Internal Medicine | Palmetto Medical Group, Pllc | 1040 Edgewater Corp Pkwy, Suite 101, Indian Land, SC 29707 |
| Rhya Pachin | Registered Dietitian Or Nutrition Professional | Palmetto Medical Group, Pllc | 1040 Edgewater Corp Pkwy, Suite 101, Indian Land, SC 29707 |
| Jean Ronel Corbier | Neurology | Palmetto Medical Group, Pllc | 1040 Edgewater Corp Pkwy, Indian Land, SC 29707 |
| Mandee J Kleine | Physical Therapy | Ltc Therapy Solutions LLC | 6251 Carolina Commons Dr, Indian Land, SC 29707-0003 |
| Mark Alan Porter | Neurology | Metrolina Neurological Associates | 7666 Charlotte Hwy 220, Indian Land, SC 29707-0004 |
| David D Buckland | Neurology | Metrolina Neurological Associates, Pa | 7666 Charlotte Hwy, Suite 220, Indian Land, SC 29707-0004 |
| Nathan Robert Terry | Chiropractic | 1028 Edgewater Corporate Pkwy, Suite 102, Indian Land, SC 29707-0107 | |
| Find all physicians in zip 29707 | |||
| City | FORT MILL |
| Zip Code | 29707 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FORT MILL + 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.