Active NPI
Wendell M Holladay, CRNA
- Certified Registered Nurse Anesthetist
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43689
- Practice address
- 1305 Wonder World Dr
Ste. 105
San Marcos, TX 78666-7546 - Phone
- (512) 353-8161
- Fax
- (512) 353-8255
- NPI assigned
- Jan 18, 2007
- Last updated
- May 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 43689 | HI | Primary |
Addresses
Primary practice location
1305 Wonder World Dr
Ste. 105
San Marcos, TX 78666-7546
Mailing address
PO Box 20452
Yps-Cred
Columbus, OH 43220-0452
Phone (614) 442-2406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 2ND St E
Gulf Coast Surgery Center
Bradenton, FL 34208-1001
Phone (941) 746-1121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43689 | HI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capital Anesthesia Solutions of Florida II, LLC | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
1738 E Common St
New Braunfels, TX 78130
Phone (210) 705-5715
150 E Sonterra Blvd
Ste 110
San Antonio, TX 78258
Phone (210) 491-9998
2833 Babcock Rd
Ste 120
San Antonio, TX 78229
Phone (210) 581-2817
520 E Euclid Ave
San Antonio, TX 78212
621 Camden St
Ste 102
San Antonio, TX 78215
Phone (210) 253-3430
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1194878983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20452",
"address_2": "YPS-CRED",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200452",
"telephone_number": "614-442-2406",
"fax_number": "614-442-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WONDER WORLD DR",
"address_2": "STE. 105",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667546",
"telephone_number": "512-353-8161",
"fax_number": "512-353-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADAY",
"first_name": "WENDELL",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "HI",
"license": "43689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.