Michael Wayne Phillips, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN545795 Issued in TX

Practice address

719 W Coke Rd
Presbyterian Hospital Winnsboro
Winnsboro, TX 75494

Phone

(903) 342-5227

Fax

(903) 342-4121

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Arlington Anesthesia Group PLLCGroup PAC ID 2860798303, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Arlington Anesthesia Group, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1023483153
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Longview Medical Center LP

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Texas Ams PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1174926125

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Longview Medical Center LP

  • Rehabilitation Hospital Unit
  • Longview, TX
  • NPI 1699733097
  NPD
• South Arlington Surgical Providers, LLC

  • Ambulatory Surgical Clinic/Center
  • Arlington, TX
  • NPI 1902844426
  NPD
• Asf Group Inc

  • Certified Registered Nurse Anesthetist
  • Sulphur Springs, TX
  • NPI 1568472744

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Good Shepherd Ambulatory Surgical Center LTD

  • Ambulatory Surgical Clinic/Center
  • Longview, TX
  • NPI 1255317384
  NPD (past)
• Horizon Anesthesia Associates PA

  • Anesthesiology Physician
  • Longview, TX
  • NPI 1811982481
  NPD (past)
• Sleepy Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Winnsboro, TX
  • NPI 1558396549

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Longview Medical Center LP

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1528026267
  Care Compare affiliation

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588674246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 GIRAFFE RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "75644",
            "telephone_number": "903-725-5267",
            "fax_number": "903-725-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W COKE RD",
            "address_2": "PRESBYTERIAN HOSPITAL WINNSBORO",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "75494",
            "telephone_number": "903-342-5227",
            "fax_number": "903-342-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "RN545795",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "CRNA41986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84759U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003290602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Richard Pelli Jr., M.D.
• Alfonso Ocampo Perez, PTA
• Justin Clive Perish, DC
• David Peterson, LPC, NCC, DCC
• Jared B Petty, DO
• Misty Ann Pierce, RN
• Suzanne Pope, COTA
• Prudenico Avendanio Mdpa
• Juan Francisco Quintana, CRNA
• Quitman Hospital LLC

• Certified Registered Nurse Anesthetist in Winnsboro, TX
• Providers in Winnsboro, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.