Individual provider Active NPI

Gregory Wawryszczuk, M.D.

  • Anesthesiology Physician
  • Pascagoula, MS
National Provider Identifier
1952489437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16388 Issued in MS
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 818-0563
Fax
(228) 818-0519
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16388 MS Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

22 Doctors Dr
Suite C
Ocean Springs, MS 39564
Phone (228) 818-0563

Other identifiers 1

IdentifierTypeStateIssuer
00121640MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101118000936 MS Practitioner - Anesthesiology 5092901876 Reassigns benefits to 1 organization
I20220301001997 TX Practitioner - Anesthesiology 5092901876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Jackson County AnesthesiaGroup PAC ID 9931292729, 37 clinicians

Practice addresses (Care Compare)

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

6300 E Lake Blvd
102 Bienville Surgery Center
Vancleave, MS 39565-6771
Phone (228) 447-4630

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Anesthesia Partners, PLLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients

Locations

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

17110 Dallas Pkwy
Ste 105
Dallas, TX 75248
Phone (972) 483-5714

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

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

2305 E Grapevine Mills Cir
Grapevine, TX 76051
Phone (682) 222-8482

7301 State Highway 161
Ste 170
Irving, TX 75039
Phone (214) 483-7070

252 Matlock Rd
Fl 4
Mansfield, TX 76063
Phone (817) 242-3600

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

115 N Loop 1604 E
Ste 1204
San Antonio, TX 78232
Phone (210) 446-0418

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952489437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DOCTORS DR",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-818-0563",
            "fax_number": "228-818-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-818-0563",
            "fax_number": "228-818-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRYSZCZUK",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "16388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121640",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.