Myra Clavier Wise, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

018805 Issued in LA

Practice address

424 W McNeese St
Lake Charles, LA 70605-5547

Phone

(337) 478-0511

Fax

(337) 478-5644

NPI assigned

Mar 19, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in LA, AR, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Anesthesiology

Education

Tulane University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osc Anesthesia LLCGroup PAC ID 1355637810, 13 clinicians

Lake Charles Anesthesiology, ApmcGroup PAC ID 6800867714, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lake Charles Anesthesiology, Apmc

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1588674790
  Medicare reassignment Care Compare group NPD
• Osc Anesthesia, LLC

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1063862340
  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Arkansas Professional Corporation

  • Anesthesiology Physician
  • Fayetteville, AR
  • NPI 1932519485
  Medicare reassignment NPD
• Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC

  • Anesthesiology Physician
  • McAllen, TX
  • NPI 1346570355
  Medicare reassignment NPD
• Christus Surgery Center Villages LLC

  • Ambulatory Surgical Clinic/Center
  • Shreveport, LA
  • NPI 1598390015
  NPD
• Anesthesia Associates

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1356462311
  NPD (past)
• The Capital City Anesthesia Group, LLC

  • Anesthesiology Physician
  • Baton Rouge, LA
  • NPI 1245282466
  NPD (past)
• University Healthcare System, LC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1942256383
  NPD (past)
• West Cal Anesthesia Associates

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1720109788
  NPD (past)
• River Valley Anesthesia Associates, P. a.

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1417967472
  NPD (past)
• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1093927105

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1205040995

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Grand Chenier, LA
  • NPI 1407068299

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1629076468
  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1710191473

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1205950771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055547",
            "telephone_number": "337-478-0511",
            "fax_number": "337-478-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055547",
            "telephone_number": "337-478-0511",
            "fax_number": "337-478-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MYRA",
        "middle_name": "CLAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "018805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460206",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald E Windham, LCSW
• Ashley Kay Winfrey, RDN
• Wendy A Wingate, APRN
• John M Winterton, M.D.
• Brittaney Wise-Wilridge, PHMNP
• Erich W Wolf Jr., M.D, PH.D
• Jeanne Wolf, L.P.C.,L.M.F.T.
• Janet Wolford, LPC
• Women & Children'S Hospital LLC
• Women & Childrens Hospital LLC

• Anesthesiology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.