Daniel W. Wildman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R867838 Issued in MS

Practice address

1314 19TH Ave
Meridian, MS 39301-4116

Phone

(601) 703-9687

Fax

(601) 703-9920

NPI assigned

Oct 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meridian Anesthesiology Group, IncGroup PAC ID 1759345192, 23 clinicians

Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069

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.

• Meridian Anesthesiology Group, Inc

  • Anesthesiology Physician
  • Meridian, MS
  • NPI 1639181019

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Medical Foundation, Inc.

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1609820539
  Medicare reassignment Care Compare group
• Kemper Cah, Inc.

  • Emergency Medicine Physician
  • De Kalb, MS
  • NPI 1346546306

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Laird Hospital, Inc.

  • Emergency Medicine Physician
  • Union, MS
  • NPI 1821046798

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kemper Cah, Inc

  • Rural Health Clinic/Center
  • Meridian, MS
  • NPI 1275879314
  NPD
• Laird Hospital, Inc

  • Rural Health Clinic/Center
  • Collinsville, MS
  • NPI 1073959375
  NPD
• Laird Hospital, Inc.

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752
  NPD

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

• Rush Medical Foundation

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  Care Compare affiliation

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383955200000",
    "number": "1821249525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-9687",
            "fax_number": "601-703-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "DANIEL",
        "middle_name": "W.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2013-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R867838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00184823",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalyn Mavis White-Gambrell, D.D.S.
• Andrea Leigh White, DPM
• Kary G Whitehead, M.D.
• Jonathan Christian Wiggins, PHARMD
• W Paul Wilcox, M.D.
• Anna Allred Wile, M.D.
• Latricia Wilkerson, M.S, CCC-SLP
• Brian L Wilkinson
• Allison Williams, PSYD
• Angela Williams

• Certified Registered Nurse Anesthetist in Meridian, MS
• Providers in Meridian, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.