CRNA
NPI 1023105905
Nurse Anesthetist, Certified Registered in Concord, NC

NPI Status: Active since October 10, 2006

Contact Information

920 CHURCH ST N
CONCORD, NC
ZIP 28025
Phone: (704) 403-3000

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  • Organization
  • Nurse Anesthetist, Certified Registered

About CRNA

This page provides the complete NPI Profile along with additional information for Crna, a provider established in Concord, North Carolina operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1023105905 assigned on October 2006. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Crna. The authorized official of this NPI record is Mark Nantz (Chief Administrative Officer)

NPI
1023105905
Provider Legal Name
CMC-NORTHEAST, INC.
Other Organization Name
CRNA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
920 CHURCH ST N CONCORD, NC 28025
Location Phone
(704) 403-3000
Mailing Address
920 CHURCH ST N CONCORD, NC 28025
Mailing Phone
(704) 403-3000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2006
Last Update Date
09-18-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK NANTZ

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(704) 783-1176

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
232009AOTHER (01)NCMEDICARE GROUP PTAN
8000181MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023105905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043201090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 0 + 1 + 0 + 9 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1023105905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

CABARRUS MEMORIAL HOSPITAL

General Acute Care Hospital

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-3000

MARK D. ANTOSZYK CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-1689

JACQUELYNN SUSAN MCGUINNESS ARNP

Nurse Practitioner

(Neonatal)

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 403-3000

TARA L CHRONISTER MD

Anesthesiology

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-3426

CAROLINAS MEDICAL CENTER-NORTHEAST

Internal Medicine

920 CHURCH ST N
NORTHEAST PHYSICIAN NETWORK
CONCORD, NC
ZIP 28025

(704) 403-1780

MARK S DERMER MD

Obstetrics & Gynecology

920 CHURCH ST N
NE OB/GYN HOSPITALIST SERVICES
CONCORD, NC
ZIP 28025

(704) 403-1632

CMC-NORTHEAST, INC.

Hospitalist

920 CHURCH ST N
NORTHEAST INPATIENT SERVICES
CONCORD, NC
ZIP 28025

(704) 403-1331

CMC-NORTHEAST, INC.

Pediatrics

(Pediatric Critical Care Medicine)

920 CHURCH ST N
NORTHEAST PEDIATRIC INTENSIVISTS
CONCORD, NC
ZIP 28025

(704) 403-3040

CMC-NORTHEAST, INC.

Internal Medicine

(Critical Care Medicine)

920 CHURCH ST N
NORTHEAST CRITICAL CARE ASSOC
CONCORD, NC
ZIP 28025

(704) 403-1311

MS. SHERRY D ABERNETHY CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-1689

MS. LUCI L. NEW CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-4235

JANET PATTY CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-4235

DONNA W WALL CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-4235

MRS. REBECCA MCCALL C.R.N.A.

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-3000

JAMES RALPH APPLETON CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-4235

VIRGINIA NORRIS ROGERS CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-4235

MRS. EILEEN H. HINSON CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-3000

MR. MICHAEL T ROBERTS CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-1622

SARAH JANE SHARP PRICHARD CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-4235

DAISHA DOBBINS CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC
ZIP 28025

(704) 783-4235

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023105905, enumerated as an "organization" on October 10, 2006.

The provider is located at 920 CHURCH ST N CONCORD, NC 28025 and the phone number is (704) 403-3000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.