Active NPI
Wayne Clinton Wise, CRNA
- Certified Registered Nurse Anesthetist
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 682283
- Practice address
- 1305 Wonder World Dr Ste 105
San Marcos, TX 78666-7502 - Phone
- (512) 353-8161
- Fax
- (512) 353-8255
- NPI assigned
- Nov 2, 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 | 682283 | TX | Primary |
Addresses
Primary practice location
1305 Wonder World Dr Ste 105
San Marcos, TX 78666-7502
Mailing address
660 Ridge Hill Dr
New Braunfels, TX 78130-6607
Phone (830) 624-7803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 682283 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amarillo Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Rio Grande Anesthesia & Pain Medicine Consultants, P .a. | Past | Accepting new patients | |
| Brownwood M. D. Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Metro Denver Anesthesia PC | Past | Accepting new patients | |
| Rio Grande Anesthesia & Pain Medicine Consultants, P.a. | Past | Accepting new patients |
Locations
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
130 Hays St
Luling, TX 78648
Phone (830) 875-7000
600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
Organizations & group practices 10
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
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1326196288
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brownwood, TX
- NPI 1679620405
Nurse Anesthetist, Certified Registered
-
- Pediatric Anesthesiology Physician
- Edinburg, TX
- NPI 1508613472
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1962457234
-
- Anesthesiology Physician
- Denver, CO
- NPI 1992778724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1982695458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 RIDGE HILL DR",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781306607",
"telephone_number": "830-624-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WONDER WORLD DR STE 105",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667502",
"telephone_number": "512-353-8161",
"fax_number": "512-353-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "WAYNE",
"middle_name": "CLINTON",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "682283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.