Active NPI
Wayne Joseph Gartner, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0062397
- Practice address
- 8801 S 101St East Ave
Tulsa, OK 74133-5716 - Phone
- (918) 294-4915
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0062397 | OK | Primary |
Addresses
Primary practice location
8801 S 101St East Ave
Tulsa, OK 74133-5716
Mailing address
7912 E 31St CT
Ste 210
Tulsa, OK 74145-1315
Phone (918) 392-4477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900522349 | Other | OK | MEDICARE GROUP PIN |
| 100786390A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131
Hospital & facility affiliations
- Ascension St John Medical Center
- Northeastern Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0062397 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeastern Health System | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Northstar Anesthesia of Oklahoma, PLLC | Current | Accepting new patients | |
| Kay County Clinic Company LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Canadian Valley Anesthesia Services | Past | Accepting new patients |
Locations
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641
7912 E 31st Ct
Ste 210
Tulsa, OK 74145
Phone (918) 392-4456
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Tahlequah, OK
- NPI 1457574170
-
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
-
- Anesthesiology Physician
- Yukon, OK
- NPI 1770541385
-
- Family Medicine Physician
- Ponca City, OK
- NPI 1225072796
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1972509727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7912 E 31ST CT",
"address_2": "STE 210",
"city": "TULSA",
"state": "OK",
"postal_code": "741451315",
"telephone_number": "918-392-4477",
"fax_number": "918-392-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 S 101ST EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741335716",
"telephone_number": "918-294-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTNER",
"first_name": "WAYNE",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0062397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "900522349",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100786390A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.