SCDP ANESTHESIA PROFESSIONALS - NPI 1821555020 - Anesthesiology in Raleigh, NC

Q: What is the provider's specialty?

The provider's specialty is Anesthesiology with taxonomy code 207L00000X.

On this page

About Scdp Anesthesia Professionals NPPES

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

SCDP ANESTHESIA PROFESSIONALS (NPI 1821555020) is a healthcare organization registered as an anesthesiology in Raleigh, North Carolina and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821555020

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameSURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC

Location Address2620 NEW BERN AVERaleigh, NC 27610-1821

Mailing Address2620 New Bern AveRaleigh, NC 27610-1821 · (919) 526-1000

Phone(919) 526-1000

Organization SubpartYes

Authorized OfficialDevin LarsenCeo · (208) 340-1840

Enumeration DateFebruary 23, 2019

Last NPPES UpdateMay 30, 20245 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1821555020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

Also ListedAnesthesiologist AssistantTaxonomy 367H00000X

2620 NEW BERN AVE, Raleigh, NC 27610

Open in Google Maps ↗

Other Names 1

Doing Business AsScdp Anesthesia Professionals

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2147298

Surgical Center For Dental Professionals Of Nc · Raleigh, NC

Active · expires Apr 16, 2028

CLIA Number34D2147298

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 17, 2026

Certificate Expiration DateApril 16, 2028

Laboratory DirectorDavid Kornstein

Laboratory Phone(919) 526-1000

Laboratory LocationSurgical Center For Dental Professionals Of Nc2620 New Bern Avenue, Raleigh, NC 27610

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MS. SHELLY LYNNE RICKERT DDS

Dentist

2620 NEW BERN AVE, NEW BERN RIDGE DENTAL CENTER
RALEIGH, NC 27610

Wake County (919) 250-2930

DR. BRANDY LENET PEAKER M.D.

Family Medicine