NPIMap

Organization Active NPI

Wise Anesthesia, PA

  • Anesthesiology Physician
  • Decatur, TX
National Provider Identifier
1790015451
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WISE ANESTHESIA, PA
Practice address
2000 South FM 51
Decatur, TX 76234-3702
Phone
(940) 627-5921
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Philip W Eichenholz, MD
Title
Director
Phone
(682) 227-6829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2000 South FM 51
Decatur, TX 76234-3702

Mailing address

2000 E. Lamar Blvd
Suite 400
Arlington, TX 76006-7346
Phone (817) 861-3994

National Provider Directory

National Provider Directory
Tax ID family
Northstar Anesthesia4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1790015451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E. LAMAR BLVD",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067346",
            "telephone_number": "817-861-3994",
            "fax_number": "817-861-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SOUTH FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343702",
            "telephone_number": "940-627-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE ANESTHESIA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "EICHENHOLZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "682-227-6829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.