Amanda Meade Derby (NPI# 1043670201, PAC ID# 9032403332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1043670201 |
| PAC ID by PECOS | 9032403332 |
| Professional Enrollment ID | I20160809002950 |
| Full Name | Amanda Meade Derby |
| Organization Legal Name | THE PRESBYTERIAN HOSPITAL |
| Address |
200 Hawthorne Ln Charlotte NC 28204-2515 |
| Phone Number | 7043844000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1153231907 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 7043552000 | CHS ANESTHESIA SERVICES GROUP INC |
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 7043844000 | THE PRESBYTERIAN HOSPITAL |
| 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 9198739533 | AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA PLLC |
| Organization Legal Name | THE PRESBYTERIAN HOSPITAL |
| Physicians | 258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Jean Mathew | Nurse Practitioner | The Presbyterian Hospital | 1401 Matthews Township Pkwy, Suite 110, Matthews, NC 28105-5403 |
| Jason G Shultz | Hematology/oncology | The Presbyterian Hospital | 14135 Balntyn Corp Pl, Suite 200, Charlotte, NC 28277-3383 |
| Nusrat A Chaudhary | Hematology/oncology | The Presbyterian Hospital | 1700 Matthews Township Pkwy, Matthews, NC 28105-4658 |
| Melissa Ann Benson | Nurse Practitioner | The Presbyterian Hospital | 1640 E Roosevelt Blvd, Monroe, NC 28112-4017 |
| Daniel G Sayers | Emergency Medicine | The Presbyterian Hospital | Advanced Wound Care and Hyperbaric Medicine, 300 Billingsley Road Suite 105, Charlotte, NC 28211-1075 |
| Heather Holden | Rheumatology | The Presbyterian Hospital | 6324 Fairview Rd, Suite 310, Charlotte, NC 28210-4172 |
| Asaad E Ahmed | Hospitalist | The Presbyterian Hospital | 3330 Siskey Pkwy, Matthews, NC 28105-3222 |
| Aileen Deng | Internal Medicine | The Presbyterian Hospital | 1918 Randolph Rd, Suite 350, Charlotte, NC 28207-1111 |
| Tracy A Ellingson | Certified Registered Nurse Anesthetist (crna) | The Presbyterian Hospital | 10030 Gilead Rd, Huntersville, NC 28078-7545 |
| Barbara White Williams | Certified Registered Nurse Anesthetist (crna) | The Presbyterian Hospital | 10030 Gilead Rd, Suite 201, Huntersville, NC 28078-7545 |
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip | 28204-2515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelda Amilcka | Physician Assistant | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Curtis L Flood | Obstetrics/gynecology | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Freeman R Jackson Jr. | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Stephen M Yeh | Emergency Medicine | Mid Atlantic Emergency Medical Associates Pllc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Courtney Ann Castoro | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Bridgette A Cooke | Physician Assistant | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Sarah M Wells | Physician Assistant | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Heather John H Montero | Family Medicine | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Melissa L Patel | Certified Registered Nurse Anesthetist (crna) | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Kim Blumberg | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Beth Ingebretson | Occupational Therapy | Metrolina Association for The Blind | 704 Louise Ave, Charlotte, NC 28204-2128 |
| Lauren Rose Hoffman | Optometry | Metrolina Association for The Blind | 704 Louise Ave, Charlotte, NC 28204-2128 |
| Lisa A Seropian | Clinical Psychologist | Lisa A. Seropian, Psy.d., P.a. | 1001 Elizabeth Ave, Suite 1b, Charlotte, NC 28204-2234 |
| Nedra G Tawwab | Clinical Social Worker | 904 E 8th St, Charlotte, NC 28204-2360 | |
| Lisa Folden | Physical Therapy | 904 E 8th St, Charlotte, NC 28204-2390 | |
| Laura H Frohboese | Clinical Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2404 | |
| Christen J Fisher | Emergency Medicine | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Janet U Crook | Family Practice | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Lesly A Bowers | Nurse Practitioner | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Catherine Kelley Carnes | Emergency Medicine | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Find all physicians in zip 28204 | |||
| City | CHARLOTTE |
| Zip Code | 28204 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CHARLOTTE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.