Active NPI
Jamieson A Wishman, CRNA
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2007017851
- Practice address
- 6420 Clayton Rd
Saint Louis, MO 63117-1811 - Phone
- (314) 768-8442
- Fax
- (314) 768-8918
- NPI assigned
- May 30, 2012
- 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 | 2007017851 | MO | Primary |
Addresses
Primary practice location
6420 Clayton Rd
Saint Louis, MO 63117-1811
Mailing address
901 E 5TH St
Washington, MO 63090-3127
Phone (314) 768-8442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-1000
4150 N Mulberry Dr
Suite 100
Kansas City, MO 64116-1779
Phone (469) 863-9978
4940 W 137TH St
Leawood, KS 66224-5940
Phone (469) 863-9978
901 E 5TH St
Deptartment of Anesthesiology
Washington, MO 63090-3127
Phone (636) 239-4100
Hospital & facility affiliations
- Mercy Hospital Jefferson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007017851 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Anesthesia LLC | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Acuity Anesthesiology LLC | Current | Accepting new patients |
Locations
865406 Reliable Pkwy
Chicago, IL 60686
4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846
8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111
17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
200 NE 54th St
Unit 200
Kansas City, MO 64118
2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500
4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517
12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200
1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780
5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939
12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200
12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517
5401 Veterans Memorial Pkwy
Ste 100
Saint Peters, MO 63376
Phone (636) 441-0906
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Festus, MO
- NPI 1134353030
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1528334182
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1487915179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903127",
"telephone_number": "314-768-8442",
"fax_number": "314-768-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-768-8442",
"fax_number": "314-768-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHMAN",
"first_name": "JAMIESON",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-30",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2007017851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.