Individual provider Active NPI

Gerald T Wythe, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1376531467
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
051619 Issued in TX
Practice address
7900 Fannin St
Suite 2300
Houston, TX 77054-2900
Phone
(713) 790-1349
Fax
(713) 790-0028
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 051619 TX Primary

Addresses

Primary practice location

7900 Fannin St
Suite 2300
Houston, TX 77054-2900

Mailing address

7900 Fannin St
Suite 2300
Houston, TX 77054-2900
Phone (713) 790-1349

Other identifiers 1

IdentifierTypeStateIssuer
83708UOtherTXBLUE CROSS BLUE SHIELD

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
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
51619TXMDPharmacist
051619TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurence Kam MD Past Accepting new patients
John G. Baerenstecher MD Past Accepting new patients
Jerome R Elk, MD Past Accepting new patients
Anesthesia Specialists of Houston, L.L.P Past Accepting new patients
Anesthesia Specialists of Houston, L.L.P. Past Accepting new patients
J Rael Elk, MD Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1376531467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST",
            "address_2": "SUITE 2300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542900",
            "telephone_number": "713-790-1349",
            "fax_number": "713-790-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST",
            "address_2": "SUITE 2300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542900",
            "telephone_number": "713-790-1349",
            "fax_number": "713-790-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYTHE",
        "first_name": "GERALD",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "051619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83708U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.