Individual provider Active NPI

Christine Clark Wyrick, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1619165321
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N6110 Issued in TX
Practice address
6606 Lyndon B Johnson Fwy Ste 200
Dallas, TX 75240-6524
Phone
(972) 233-1999
Fax
(972) 233-3666
NPI assigned
Oct 9, 2007
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N6110 TX Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X N6110 TX

Addresses

Primary practice location

6606 Lyndon B Johnson Fwy Ste 200
Dallas, TX 75240-6524

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Other practice location 1

421 Berkshire Ln
Coppell, TX 75019-6716
Phone (972) 304-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080829000096 TX Practitioner - Anesthesiology 6507932423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Cincinnati College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

1301 Pennsylvania
73 Greater Houston Anesthesiology
Fort Worth, TX 76104-2122
Phone (972) 715-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N6110TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince May 31, 2019 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince May 31, 2019 Accepting new patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Aug 6, 2014 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology Past Accepting new patients
Certus Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

6606 Lyndon B Johnson Fwy
Ste 200
Dallas, TX 75240
Phone (469) 364-4109

1301 Pennsylvania Ave
#273
Fort Worth, TX 76104

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1619165321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LYNDON B JOHNSON FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406524",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Berkshire Ln",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750196716",
            "country_code": "US",
            "telephone_number": "972-304-4440",
            "fax_number": "972-304-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "CHRISTINE",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N6110",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "N6110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.