Adrenne M Wygonik, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704098999 Issued in MI

Practice address

3079 Peachtree Industrial Blvd
Anesthesia Healthcare Partners/HBL Anesthesia Services
Duluth, GA 30097-2215

Phone

(678) 713-5847

Fax

(770) 945-5960

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sparrow Carson Hospital

  dba University of Michigan Health-Sparrow

  • Anesthesiology Physician
  • Carson City, MI
  • NPI 1396789798

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1194739524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 LINDENWOOD DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201311",
            "telephone_number": "313-441-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "ANESTHESIA HEALTHCARE PARTNERS/HBL ANESTHESIA SERVICES",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972215",
            "telephone_number": "678-713-5847",
            "fax_number": "770-945-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYGONIK",
        "first_name": "ADRENNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704098999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104323298",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI",
            "identifier": "AW098999",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Worthy Medical LLC
• Worthy Medical Supply Inc.
• Woun Hue Seok DO PC (Pleasant Hill Family Medicine)
• Christopher B Wright, DDS
• Sonya W Wright, MPT
• Yu Xin, APRN
• Ella Dongqing Xu
• Keping Xu, OD
• Y J Lee Gastroenterology, PC
• Angeline Yang

• Certified Registered Nurse Anesthetist in Duluth, GA
• Providers in Duluth, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.