Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Lopez Ubalde, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1255493953

Jose Lopez Ubalde, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Winston Salem, North Carolina. Qualified in 1993, 33 years ago. Practices with Medical Park Hospital LLC, a 109-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
33
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

145 Kimel Park Dr Ste 120
Winston Salem, NC 27103
Phone: (336) 768-3212
Fax: (336) 768-9019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 207 Old Lexington Rd, Thomasville, NC 27360-3428 — (336) 476-2586
  • 207 Old Lexington Rd, Thomasville, NC 27360-3428 — (336) 476-2586

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4359 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 158511 (NC)

Record details

NPI number1255493953
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 16, 2006
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Medical Park Hospital Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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