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NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC NPI 1730728270


NPI Information

NPI: 1730728270
Provider Name: NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
1730 KERNERSVILLE MEDICAL PKWY
STE 304
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 515-7000
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NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC is a nurse anesthetist certified registered in Kernersville, NC. 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. NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC NPI is 1730728270. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1730 KERNERSVILLE MEDICAL PKWY
STE 304
KERNERSVILLE, NC
ZIP 27284-198
Phone: (336) 515-7000
Fax: (336) 515-7009

The provider's authorized official is Jennifer Lynn O'brien .
The authorized official title is Administrator Asc and has the following contact phone number (336) 564-4938.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 1/2/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11750892659MEDICAIDNORTH 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: 5/5/2024

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