Provider Demographics
NPI:1578536249
Name:DINGESS, RODNEY LEE (CRNA)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:LEE
Last Name:DINGESS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:302 CHESTNUT LN
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28625-8385
Mailing Address - Country:US
Mailing Address - Phone:704-871-1027
Mailing Address - Fax:704-871-1028
Practice Address - Street 1:218 OLD MOCKSVILLE RD
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-1930
Practice Address - Country:US
Practice Address - Phone:704-873-0281
Practice Address - Fax:704-838-7261
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC066631367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8050513Medicaid
NC261082MMedicare ID - Type UnspecifiedCRNA