TAILORED ANESTHESIA SERVICES LLC (NPI# 1225404809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225404809 |
| Entity Type | Organization |
| Organization Name | TAILORED ANESTHESIA SERVICES LLC |
| Practice Address |
3810 Waterside Dr Apt 104 Elizabeth City NC 27909-9739 |
| Practice Telephone | 3015385352 |
| Practice Fax Number | 2526211003 |
| Mailing Telephone | 3015385352 |
| Mailing Fax Number | 2526211003 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | GREGORY G TAYLOR (OWNER) |
| 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 | 158154 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DCN | 15202003000152 | 01 |
| NC | PROVIDER PTAN | Q45087E830 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003069527 | Tailored Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 670 Hunt Club Dr, Corolla, NC 27927-9573 | 2008-10-28 |
| Street Address |
3810 WATERSIDE DR APT 104 |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-9739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| 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 |
|---|---|---|---|---|
| 1497793269 | Gregory G Taylor | Nurse Anesthetist, Certified Registered | 3810 Waterside Dr, #104, Elizabeth City, NC 27909-9738 | 2006-06-03 |
| 1609148022 | Nicholas M Hartman | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2012-02-01 |
| 1851521876 | Christina Queen Peek | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2009-07-24 |
| 1265679898 | Eric David Mcnaughton | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2009-01-20 |
| 1558542456 | Amy F Inman | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2007-11-19 |
| 1124151840 | Jill H Robertson | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2007-03-13 |
| 1548346018 | Robbie D Collins | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2006-10-27 |
| 1396831723 | Marvin B Pearson | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2006-10-05 |
| 1689628729 | Nurse Anesthesia of North Carolina, Pllc | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2006-05-22 |
| 1952353906 | Kenneth D Tolin | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2006-05-17 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
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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.