Active NPI
Sandra H. Wilcher, CRNA
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1710994066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 636222
- Practice address
- 13601 Preston Rd
Ste 900W
Dallas, TX 75240-4911 - Phone
- (469) 396-0142
- NPI assigned
- Aug 1, 2006
- Last updated
- Dec 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 636222 | TX | Primary |
Addresses
Primary practice location
13601 Preston Rd
Ste 900W
Dallas, TX 75240-4911
Mailing address
1724 Turnberry LN
Allen, TX 75002-2639
Phone (469) 396-0142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119920004 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 636222 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The South County Anesthesia Association, PA | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Baptist Medcare, Inc | Past | Accepting new patients | |
| Gulf Shore Anesthesia Associates PA | Anesthesiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gulf Shore Anesthesia Associates
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1902862147
-
dba The Woodlands Anesthesia Association
- Specialist
- The Woodlands, TX
- NPI 1467465369
-
dba Paulk Family Clinic/A Baptist Health Affiliate
- Family Medicine Physician
- Sheridan, AR
- NPI 1548239247
-
dba Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1710994066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 TURNBERRY LN",
"city": "ALLEN",
"state": "TX",
"postal_code": "750022639",
"telephone_number": "469-396-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 PRESTON RD",
"address_2": "STE 900W",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404911",
"telephone_number": "469-396-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCHER",
"first_name": "SANDRA",
"middle_name": "H.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "636222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119920004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.