PROVIDENCE HOSPITAL CRNAS
NPI 1194796607
Nurse Anesthetist, Certified Registered in Columbia, SC

Q: What is Sisters Of Charity Providence Hospitals's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since February 01, 2006

2435 FOREST DRIVE, COLUMBIA, SC 29204(803) 454-2613(803) 765-1732 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Providence Hospital Crnas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HOSPITAL CRNAS (NPI 1194796607) is a healthcare organization registered as a nurse anesthetist, certified registered in Columbia, South Carolina and active in the NPI registry since February 2006. The organization lists Jho R. Outlaw, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194796607

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameSISTERS OF CHARITY PROVIDENCE HOSPITALS

Location Address2435 FOREST DRIVEColumbia, SC 29204

Mailing AddressPo Box 1467Columbia, SC 29202 · (803) 454-2613 · Fax (803) 765-1732

Phone(803) 454-2613

Fax(803) 765-1732

Organization SubpartYesParent: Sisters Of Charity Hospital

Authorized OfficialJho R. OutlawExecutive Director · (803) 454-2600

Enumeration DateFebruary 1, 2006

Last NPPES UpdateMay 27, 2015

✔ NPI 1194796607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

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.

2435 FOREST DRIVE, Columbia, SC 29204

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Other Names 1

Doing Business AsProvidence Hospital Crnas

Other Identifiers 2

Medicare PIN7187SC

MedicaidGP3278SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAPITOL ER GROUP LLC

Emergency Medicine