MR. CARLIE ARTHUR TESTERMAN (NPI# 1639227309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639227309 |
| Entity Type | Individual |
| Full Name | MR. CARLIE ARTHUR TESTERMAN |
| Credential | APRN / C.R.N.A. |
| Practice Address |
130 Emily Drive Moore SC 29369 |
| Mailing Address |
130 Emily Dr Moore SC 29369-8478 |
| Practice Telephone | 8642493156 |
| Practice Fax Number | 8642493156 |
| Mailing Telephone | 8642493156 |
| Mailing Fax Number | 8642493156 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 3947 | SC | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 83492 | NC | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 039045 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 EMILY DRIVE |
| City | MOORE |
| State | SC |
| Zip Code | 29369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699241695 | Frederick Lee Hill | Psychologist | 612 Willowtree Way, Lyman, SC 29369 | 2018-10-17 |
| 1548626534 | Derek Edward Stewart | Social Worker | 443 Rexford Drive, Moore, SC 29369 | 2016-01-07 |
| 1477849933 | Christie Rogers-larke | Counselor | 104 Ross Common Run, Moore, SC 29369 | 2011-06-23 |
| 1447563689 | Terry Chet Borkowski | Occupational Therapist | 130 Antrim Avenue, Moore, SC 29369 | 2010-07-16 |
| 1962482976 | Westview-fairforest Fire Department | Ambulance | 4247 Anderson Mill Rd, Moore, SC 29369 | 2006-01-18 |
| 1144690686 | Robin Finley | Marriage & Family Therapist | 122 Middleton Park Ln, Moore, SC 29369-7800 | 2015-09-27 |
| 1043854789 | Benchmark Healthcare Service LLC | Occupational Therapist | 5844 Reidville Rd Ste F, Moore, SC 29369-8301 | 2019-11-06 |
| 1902405111 | Megan Cassidy | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2020-10-19 |
| 1639725278 | Courtney Paige Neuder | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2019-08-09 |
| 1447737895 | Blake Lanier Hawkins | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2018-07-27 |
| Find all providers in zip 29369 | ||||
| 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 |
|---|---|---|---|---|
| 1063905867 | Kelsey Squires Lennon | Nurse Anesthetist, Certified Registered | 101 Reedy View Dr Apt 174, Greenville, SC 29601-1827 | 2018-06-07 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1710480280 | Midlands Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | 340 Sumter Hwy, Camden, SC 29020-9347 | 2018-03-12 |
| 1386155265 | Ajith A Skariah | Nurse Anesthetist, Certified Registered | 311 Chartwell Dr, Greer, SC 29650-4784 | 2017-10-18 |
| 1447616917 | Teletha Ruth | Nurse Anesthetist, Certified Registered | 42 Oak St, Varnville, SC 29944-4855 | 2016-01-13 |
| 1508221037 | Polaya Anesthesia LLC | Nurse Anesthetist, Certified Registered | 201 74th Ave N, Myrtle Beach, SC 29572-3832 | 2015-12-29 |
| 1255702007 | Jane Elizabeth Donnan | Nurse Anesthetist, Certified Registered | 1313 E North St, Greenville, SC 29607-1355 | 2015-10-19 |
| 1285010611 | Terra Lynn Kloth | Nurse Anesthetist, Certified Registered | 6451 Come About Way, Awendaw, SC 29429-6022 | 2015-08-07 |
| 1306226402 | Shayla Callahan | Nurse Anesthetist, Certified Registered | 1412 Red Sunset Ln, Blythewood, SC 29016-7639 | 2015-06-03 |
| 1295120822 | Lisa G James | Nurse Anesthetist, Certified Registered | 2 Chestnut Hill Pl, Simpsonville, SC 29680-6662 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
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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.