ROGER A SOUTHALL, JR


Address: 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7112
Phone: 8435721228

ROGER A SOUTHALL, JR (NPI# 1871847814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871847814
Entity Type Individual
Full Name ROGER A SOUTHALL, JR
Credential CRNA
Practice Address 9263 Medical Plaza Dr
Ste E
Charleston
SC 29406-7112
Practice Telephone 8435721228
Practice Fax Number 8775617564
Mailing Telephone 8435721228
Mailing Fax Number 8775617564
Enumeration Date 2012-10-30
Last Update Date 2013-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 18138 SC Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program 9302221 FL Student, Health Care

Office Location

Street Address 9263 MEDICAL PLAZA DR
STE E
City CHARLESTON
State SC
Zip Code 29406-7112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689670945 Sheryl Walker Anesthesiology 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7112 2005-06-22
1710439286 Rachel N Brown Nurse Anesthetist, Certified Registered 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7109 2016-10-31
1790236800 Laura Gilbert Nurse Anesthetist, Certified Registered 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7112 2016-10-24
1669870929 Lucas Willoughby Nurse Anesthetist, Certified Registered 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7112 2014-12-18
1659779916 Brooke Barnhardt Nurse Anesthetist, Certified Registered 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7112 2014-12-18
1891191763 Aaron Waters Nurse Anesthetist, Certified Registered 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7109 2014-11-05
1952707812 Emily Wade Beasley Nurse Anesthetist, Certified Registered 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7109 2014-11-05
1104181353 Bethany D Stephenson Massage Therapist 9263 Medical Plaza Dr, Ste D, Charleston, SC 29406-7109 2012-07-12
1396000691 Lisa H Beauford Massage Therapist 9263 Medical Plaza Dr, Ste D, Charleston, SC 29406-7109 2012-07-12
1982969135 Michael N Livingston Massage Therapist 9263 Medical Plaza Dr, Ste. D, Charleston, SC 29406-7109 2012-07-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023622289 Sara Desmarais Physical Therapist 2760 Tricom St, North Charleston, SC 29406 2020-09-04
1669036448 Pink Elephant Autism Project In Home Supportive Care 8738 Red Oak Drive, Charleston, SC 29406 2019-04-26
1083171185 Medical University Hospital Authority Pharmacy 2250 Mall Drive, North Charleston, SC 29406 2019-02-25
1336627371 Truesdale Medical Center LLC Internal Medicine 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 2018-08-01
1164914552 Amanda R Dipiazza Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 2018-06-01
1982148490 Trident Medical Center Psychiatric Hospital 9225 C Medical Plaza Drive, Charleston, SC 29406 2016-12-19
1649726217 First Choice Counseling Services, LLC Community/Behavioral Health 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 2016-09-01
1821443896 Liberty Doctors, LLC Family Medicine 9275 D Medical Plaza Dr., North Charleston, SC 29406 2016-04-27
1174984645 Ashia George Developmental Therapist 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 2016-03-11
1023488582 Etta Smith Counselor 2470 Mall Dr Unit Cd, North Charleston, SC 29406 2015-09-28
Find all providers in zip 29406

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164914552 Amanda R Dipiazza Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 2018-06-01
1043746464 Victoria Lorraine Nester Nurse Anesthetist, Certified Registered 3018 Cane Fork Rd, Charleston, WV 25314-9002 2017-05-04
1417308891 Erik Meadows Nurse Anesthetist, Certified Registered 121 Hickory Rd, Charleston, WV 25314-1823 2016-06-27
1194175265 Bethany Daniel Nurse Anesthetist, Certified Registered 644 Gordon Dr, Charleston, WV 25314-1762 2016-06-20
1790117356 Benjamin Michael Blick Nurse Anesthetist, Certified Registered 402 Bow Hunter Rd, Charleston, WV 25314-2458 2013-08-06
1972805802 Bradford Clinton Buddenberg Nurse Anesthetist, Certified Registered 2215 Smith Rd, Charleston, WV 25314-2110 2010-11-29
1750619011 Ashlea Renea King Nurse Anesthetist, Certified Registered 12 Jamestown Rd, Charleston, WV 25314-1976 2009-11-25
1013152644 Meg Adair Jackson Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave S. E., Charleston, WV 25304 2008-12-11
1316198161 Tabitha Renee Stutler Nurse Anesthetist, Certified Registered 800 Penssylvania Ave, Charleston, WV 25302 2008-10-09
1194997536 Priscilla Joyce Walkup Nurse Anesthetist, Certified Registered 3110 Maccorkle Ave, S.e., Room 2042 Robert C. Byrd Bld, Charleston, WV 25304-1833 2008-03-26
Find all providers in CHARLESTON

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City CHARLESTON
Zip Code 29406

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Dataset Information

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.

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