Active NPI
Wayne Rex Riding, CRNA
- Certified Registered Nurse Anesthetist
- Draper, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0294124-4406
- Practice address
- 96 E Kimballs LN Ste 100
Draper, UT 84020-5021 - Phone
- (801) 319-5095
- NPI assigned
- Sep 13, 2006
- 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 | 0294124-4406 | UT | Primary |
Addresses
Primary practice location
96 E Kimballs LN Ste 100
Draper, UT 84020-5021
Mailing address
1301 S 550 W
Salem, UT 84653-9173
Phone (801) 319-5095
Other practice location 1
1000 E 100 N
Payson, UT 84651-1600
Phone (800) 748-4868
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PRA04893 | Other | UT | MOLINA |
| 56221 | Other | UT | HEALTHY U |
| QM0000076595 | Other | UT | ALTIUS |
| 107004477101 | Other | UT | IHC |
| 190382600 | Other | UT | US DEPT OF LABOR |
| 870525882RID | Other | UT | EDUCATORS MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
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)
750 W 800
Orem, UT 84057-3660
Phone (801) 714-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0294124-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Anesthesia LC | Current | Accepting new patients |
Locations
96 E Kimballs Ln
Ste 100
Draper, UT 84020
Phone (801) 233-9300
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
1000 E 100 N
Payson, UT 84651
Phone (801) 465-7000
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
Organizations & group practices 1
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
- Orem, UT
- NPI 1043249840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1972608495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S 550 W",
"city": "SALEM",
"state": "UT",
"postal_code": "846539173",
"telephone_number": "801-319-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 E KIMBALLS LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205021",
"telephone_number": "801-319-5095"
}
],
"practiceLocations": [
{
"address_1": "1000 E 100 N",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "UT",
"postal_code": "846511600",
"country_code": "US",
"telephone_number": "800-748-4868",
"fax_number": "801-733-5872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDING",
"first_name": "WAYNE",
"middle_name": "REX",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "0294124-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA04893",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "56221",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000076595",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107004477101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "190382600",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870525882RID",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.