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ETHER LLC NPI 1003213174


NPI Information

NPI: 1003213174
Provider Name: ETHER, LLC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
1070 WILDWOOD CENTRE DR
COLUMBIA, SC
ZIP 29229
Phone: (803) 788-1100
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ETHER, LLC is a nurse anesthetist certified registered in Columbia, SC. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. ETHER, LLC NPI is 1003213174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1070 WILDWOOD CENTRE DR
COLUMBIA, SC
ZIP 29229-420
Phone: (803) 788-1100
Fax: (803) 788-4522

The provider's authorized official is Karla G Shreve .
The authorized official title is Manager and has the following contact phone number (803) 788-1100.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 4/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E279MEDICARE PINSOUTH CAROLINA
2GP6725MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

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