| Dustin M Souther, CRNA | |
|
920 Church St N, Concord, NC 28025-2927 | |
| (704) 403-1689 | |
| Not Available |
| Full Name | Dustin M Souther |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 920 Church St N, Concord, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144641788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 184216 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cabarrus Gastroenterology Associates Pllc | 9436059649 | 45 |
| Entity Name | Carolina Digestive Health Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124052444 PECOS PAC ID: 1951209790 Enrollment ID: O20031230000650 |
| Entity Name | Cabarrus Gastroenterology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780790592 PECOS PAC ID: 9436059649 Enrollment ID: O20040113000342 |
| Entity Name | Cabarrus Gastroenterology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346308517 PECOS PAC ID: 9436059649 Enrollment ID: O20070319000264 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin M Souther, CRNA 5025 Airport Center Pkwy Bldg L, Charlotte, NC 28208-5885 Ph: (704) 512-7105 | Dustin M Souther, CRNA 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-1689 |
Gail Sutton Wooley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-355-2000 | |
Justice Edmond, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 | |
Terri Crockett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 | |
Mary Jean Detchemendy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 Fax: 704-783-2527 | |
Mr. Michael T Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-1622 Fax: 704-783-2527 | |
Janet Yountz Patty, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 | |
Virginia Norris Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 |