Organization Active NPI

Cornerstone Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Hoisington, KS
National Provider Identifier
1649738394
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CORNERSTONE ANESTHESIA LLC
Practice address
250 W 9TH St
Hoisington, KS 67544-1706
Phone
(316) 619-6652
NPI assigned
Mar 12, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Tisha Wikum
Title
Crna
Phone
(316) 619-6652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

250 W 9TH St
Hoisington, KS 67544-1706

Mailing address

39 NW 48 Rd
Great Bend, KS 67530-9084
Phone (316) 619-6652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1649738394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NW 48 RD",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675309084",
            "telephone_number": "316-619-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 9TH ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441706",
            "telephone_number": "316-619-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "WIKUM",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "316-619-6652"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoisington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.