MR. BRYAN COLE CHALK (NPI# 1942550728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942550728 |
| Entity Type | Individual |
| Full Name | MR. BRYAN COLE CHALK |
| Credential | CRNA |
| Practice Address |
2131 S 17th Street Wilmington NC 28401 |
| Mailing Address |
7612 Culloden Court Wilmington NC 28411 |
| Practice Telephone | 9106675831 |
| Mailing Telephone | 2524140453 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 91147 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1802 S 17th St, Wilmington, NC 284016444 | 9103431031 | |
| 2305 Canterwood Dr, Wilmington, NC 284017300 | 9103430119 | |
| 510 Carolina Bay Dr Ste 100, Wilmington, NC 284032046 | 9107639833 | |
| 6781 Parker Farm Dr Ste 200, Wilmington, NC 284053161 | 9103431031 |
| Street Address |
2131 S 17TH STREET |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598261828 | Emma Mary Ciborowski | Student in an Organized Health Care Education/Training Program | 2131 S 17th Street, Wilmington, NC 28401 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| 1750601944 | Adaptive Technologies, LLC | Prosthetic/Orthotic Supplier | 1960 South 17th Street, Suite 201, Wilmington, NC 28401 | 2010-06-10 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1588033450 | Amy Landis Formyduval | Nurse Anesthetist, Certified Registered | 6404 Spicewood St, Wilmington, NC 28405-7756 | 2015-09-21 |
| 1316210388 | Anesthesia Care Associates Inc. LLC | Nurse Anesthetist, Certified Registered | 7 Madelyn Ave, Wilmington, DE 19803-3964 | 2012-02-21 |
| 1891020103 | Jessica Lynn Jeffries | Nurse Anesthetist, Certified Registered | 5003 Lady Fern Ct, Wilmington, NC 28409-3976 | 2009-10-05 |
| 1780863068 | John R Shulse | Nurse Anesthetist, Certified Registered | 1602 Physicians Dr Ste 104, Wilmington, NC 28401-7350 | 2007-11-02 |
| 1073652780 | Sharon A Griffith | Nurse Anesthetist, Certified Registered | 807 W Main St, Wilmington, OH 45177-0868 | 2007-02-06 |
| 1073662839 | Paula Kay Lavigne | Nurse Anesthetist, Certified Registered | 1415 Medical Center Dr, Wilmington, NC 28401 | 2007-01-10 |
| 1033142765 | Cynthia Merrell | Nurse Anesthetist, Certified Registered | 2131 South 17th Street, Wilmington, NC 28401 | 2006-07-08 |
| 1902836059 | Ellen Cosby | Nurse Anesthetist, Certified Registered | 2005 Limestone Rd, Suite 5, Wilmington, DE 19808-5505 | 2006-07-04 |
| 1518997626 | Aleen Joy Wilker | Nurse Anesthetist, Certified Registered | 7th and Clayton Sts, 4th Floor Anesthesia, Wilmington, DE 19805 | 2006-07-04 |
| 1528096328 | William Keith Sturniolo | Nurse Anesthetist, Certified Registered | 5102 Masonboro Harbor Dr, Wilmington, NC 28409-4154 | 2006-06-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.