TAILORED ANESTHESIA SERVICES LLC (NPI# 1003069527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003069527 |
| Entity Type | Organization |
| Organization Name | TAILORED ANESTHESIA SERVICES LLC |
| Practice Address |
670 Hunt Club Dr Corolla NC 27927-9573 |
| Practice Telephone | 2524533118 |
| Practice Fax Number | 2525971884 |
| Mailing Telephone | 2524533118 |
| Mailing Fax Number | 2525971884 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | MR. GREGORY G TAYLOR (CEO) |
| Authorized Official Telephone | 3015385352 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R096528 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225404809 | Tailored Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3810 Waterside Dr Apt 104, Elizabeth City, NC 27909-9739 | 2015-08-18 |
| Street Address |
670 HUNT CLUB DR |
| City | COROLLA |
| State | NC |
| Zip Code | 27927-9573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821393984 | Two Dreams | Community/Behavioral Health | 1150 Persimon Street, Corolla, NC 27927 | 2011-01-21 |
| 1124253281 | Luis Sirotzky | Clinic/Center | 1953 Sandfiddler Road 460, Corolla, NC 27927 | 2009-05-19 |
| 1154331817 | Shannon Mullis Sawin | Family Medicine | 1123 Ocean Trail, Corolla, NC 27927 | 2006-08-08 |
| 1043339450 | Teresa M Bell | Community/Behavioral Health | 2013 Midland Road, Corolla, NC 27927-0000 | 2007-03-28 |
| 1386931525 | Guy Sides | Pharmacist | 555 Hunt Club Drive, Corolla, NC 27927-0023 | 2011-07-08 |
| 1871530725 | Corolla Fire & Rescue Squad | Ambulance | 827 Whalehead Dr, Corolla, NC 27927-9686 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386931525 | Guy Sides | Pharmacist | 555 Hunt Club Drive, Corolla, NC 27927-0023 | 2011-07-08 |
| 1821393984 | Two Dreams | Community/Behavioral Health | 1150 Persimon Street, Corolla, NC 27927 | 2011-01-21 |
| 1124253281 | Luis Sirotzky | Clinic/Center | 1953 Sandfiddler Road 460, Corolla, NC 27927 | 2009-05-19 |
| 1043339450 | Teresa M Bell | Community/Behavioral Health | 2013 Midland Road, Corolla, NC 27927-0000 | 2007-03-28 |
| 1154331817 | Shannon Mullis Sawin | Family Medicine | 1123 Ocean Trail, Corolla, NC 27927 | 2006-08-08 |
| 1871530725 | Corolla Fire & Rescue Squad | Ambulance | 827 Whalehead Dr, Corolla, NC 27927-9686 | 2006-05-31 |
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559800 | Caroline Traczyk | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd # Hafs6670, Durham, NC 27705-4699 | 2020-08-18 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1023657426 | Sarah Kuhn | Nurse Anesthetist, Certified Registered | 300 Long Shoals Rd Apt 1l, Arden, NC 28704-7717 | 2020-01-02 |
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1730728270 | Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | 1730 Kernersville Medical Pkwy, Ste 304, Kernersville, NC 27284-7198 | 2020-01-02 |
| 1790334274 | Jocelyn Claire Hoffmann | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Bldg Room6670, Durham, NC 27705-4699 | 2019-09-08 |
| 1033766670 | Apex Anesthesia Inc | Nurse Anesthetist, Certified Registered | 3031 New Bern Ave Ste 100, Raleigh, NC 27610-2989 | 2019-08-19 |
| 1588219307 | Yerilis Ortiz Vazquez | Nurse Anesthetist, Certified Registered | 1000 Central Ave Apt 137, Charlotte, NC 28204-2273 | 2019-08-08 |
| 1992359905 | Andrea Nicole Magri | Nurse Anesthetist, Certified Registered | 1924 W Academy St, Winston Salem, NC 27103-3779 | 2019-07-29 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.