| Doris Susan Taylor, CRNA | |
|
4956 Long Beach Rd Se Ste 14, Pmb 135, Southport, NC 28461-9127 | |
| (910) 278-1516 | |
| Not Available |
| Full Name | Doris Susan Taylor |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 43 Years |
| Location | 4956 Long Beach Rd Se Ste 14, Southport, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295798049 | NPI | - | NPPES |
| AN1081 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1866 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 939 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wilmington Health Pllc | 6103722509 | 400 |
| Medstream Anesthesia Pllc | 7416198049 | 614 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Doris Susan Taylor, CRNA 4956 Long Beach Rd Se Ste 14, Pmb 135, Southport, NC 28461-9127 Ph: (910) 278-1516 | Doris Susan Taylor, CRNA 4956 Long Beach Rd Se Ste 14, Pmb 135, Southport, NC 28461-9127 Ph: (910) 278-1516 |
Holly Metzerott, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 116 W West St, Southport, NC 28461 Phone: 704-576-4476 | |
Barry Dean Amerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 723 Skipjack Cir, Southport, NC 28461 Phone: 910-358-4275 |