Active NPI
Wesley S Mahan Jr., CRNA
- Certified Registered Nurse Anesthetist
- New Port Richey, FL
National Provider Identifier
1265524144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP1549802
- Practice address
- 5606 Westshore Dr
New Port Richey, FL 34652-3032 - Phone
- (727) 846-0065
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 8, 2010
- 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 | ARNP1549802 | FL | Primary |
Addresses
Primary practice location
5606 Westshore Dr
New Port Richey, FL 34652-3032
Mailing address
5606 Westshore Dr
New Port Richey, FL 34652-3032
Phone (727) 846-0065
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0087 | Other | FL | BLUE CROSS BLUE SHIELD |
| 033670000 | Medicaid | FL | |
| P00029835 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pinellas Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St Lukes Surgical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Tampa, FL
- NPI 1104879816
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1508890476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1265524144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 WESTSHORE DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346523032",
"telephone_number": "727-846-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 WESTSHORE DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346523032",
"telephone_number": "727-846-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAN",
"first_name": "WESLEY",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP1549802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "G0087",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033670000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00029835",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.