Four Rivers Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

R8N11 Issued in MO

Legal business name

FOUR RIVERS ANESTHESIA

Practice address

1111 E 6TH St
Washington, MO 63090-3308

Phone

(636) 239-1766

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter G Wienke, MD

Title

President

Phone

(636) 239-1766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1487980397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAST LN",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841772",
            "telephone_number": "636-239-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E 6TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903308",
            "telephone_number": "636-239-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "WIENKE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-239-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "R8N11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Louise Fisher, APRN
• Amanda Flamm, FNP
• Shannon Marie Flynn, AU.D.
• Foot Store LLC
• Foot Store LLC
• Four Rivers Chiropractic and Acupuncture LLC
• Franklin County Animal Medical Center
• Franklin County Dental Network
• Franklin County Family Dental
• Franklin County Surgical Associates Inc

• Anesthesiology Physician in Washington, MO
• Providers in Washington, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.