Active NPI
James Edwin Wingate Jr., CRNA
- Certified Registered Nurse Anesthetist
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1079519
- Practice address
- 3719 Dauphin St
Anesthesia Department
Mobile, AL 36608-1753 - Phone
- (251) 342-3000
- NPI assigned
- Sep 29, 2008
- 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 | 1079519 | AL | Primary |
Addresses
Primary practice location
3719 Dauphin St
Anesthesia Department
Mobile, AL 36608-1753
Mailing address
PO Box 851417
Mobile, AL 36685-1417
Phone (251) 342-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN0216 | Other | AL | MEDICARE TRAVELERS |
| 105637 | Medicaid | AL | |
| 105636 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Hospital | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Hospital | Current | Accepting new patients | |
| Coastal Anesthesia, P.C. | Past | Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
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
- Mobile, AL
- NPI 1629635818
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1952390643
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1992133912
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1558511311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 851417",
"city": "MOBILE",
"state": "AL",
"postal_code": "366851417",
"telephone_number": "251-342-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 DAUPHIN ST",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081753",
"telephone_number": "251-342-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGATE",
"first_name": "JAMES",
"middle_name": "EDWIN",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1079519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS",
"identifier": "CN0216",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105637",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105636",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.