WAYNE GENERAL HOSPITAL (NPI# 1093930638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093930638 |
| Entity Type | Organization |
| Organization Name | WAYNE GENERAL HOSPITAL |
| Other Organization Name | WAYNE GENERAL CRNA |
| Practice Address |
950 Matthew Dr Waynesboro MS 39367-2567 |
| Mailing Address |
950 Matthew Dr P O Box 1249 Waynesboro MS 39367-2567 |
| Practice Telephone | 6017355151 |
| Practice Fax Number | 6017357168 |
| Mailing Telephone | 6017355151 |
| Mailing Fax Number | 6017357168 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | MRS. KATHY WADDELL (ADMINISTRATOR) |
| Authorized Official Telephone | 6017355151 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE GENERAL HOSPTIAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 11-288 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09012424 | 05 |
| Other Name | Type Code |
|---|---|
| WAYNE GENERAL CRNA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063878676 | Wayne General Hospital | Anesthesiology | 940 Matthew Dr Ste 8, Waynesboro, MS 39367-2534 | 2016-01-12 |
| 1881099752 | Wayne General Hospital | In Home Supportive Care | 951 Matthew Dr Ste C, Waynesboro, MS 39367-2566 | 2014-11-04 |
| 1285882662 | Wayne General Hospital | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2008-08-28 |
| 1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
| 1407233612 | Wayne General Hospital | Clinic/Center | 940 Matthew Dr, Suite 5, Waynesboro, MS 39367-2522 | 2015-04-27 |
| 1861702383 | Wayne General Hospital | Family Medicine | 951 Matthew Dr, Suite A, Waynesboro, MS 39367-2565 | 2010-10-18 |
| 1023271723 | Wayne General Hospital | Respite Care | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-07-03 |
| 1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1598787160 | Wayne General Hospital | Home Health | 920 Matthew Dr, Suite 2, Waynesboro, MS 39367-2553 | 2006-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAYNE GENERAL HOSPITAL | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Street Address |
950 MATTHEW DR |
| City | WAYNESBORO |
| State | MS |
| Zip Code | 39367-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
| 1679952535 | Jordan B Ingram | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2590 | 2015-05-26 |
| 1831483569 | Janet M Bullock | Dietitian, Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2011-05-28 |
| 1659683266 | Douglas Hunt Blackledge | Anesthesiology | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2010-07-12 |
| 1023271723 | Wayne General Hospital | Respite Care | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-07-03 |
| 1366614901 | Wayne General Ambulance | Ambulance | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-03-24 |
| 1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1902021546 | Wayne General Hospsital | Internal Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1669484655 | Brian K Williams | Family Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
| 1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
| 1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
| 1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
| 1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
| 1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
| Find all providers in zip 39367 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383514 | D Woods Anesthesia | Nurse Anesthetist, Certified Registered | 360 Barrett Plantation Ln, Waynesboro, GA 30830-2706 | 2015-08-05 |
| 1083717029 | Timothy P.a. Prieto-kop | Nurse Anesthetist, Certified Registered | 315 Liberty Street, Waynesboro, GA 30830 | 2006-09-06 |
| 1497727705 | Jimmy N Bowen | Nurse Anesthetist, Certified Registered | 950 Matthew Drive, Waynesboro, MS 39367 | 2006-02-02 |
| 1447228630 | Marie Dickerson | Nurse Anesthetist, Certified Registered | 950 Matthew Drive, Waynesboro, MS 39367 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1457970923 | Sola Medical Services, LLC | Nurse Anesthetist, Certified Registered | 3037 Corder Drive, Corinth, MS 38834-3883 | 2020-04-14 |
| 1770046690 | Brittany Ball | Nurse Anesthetist, Certified Registered | 6232 Vera Ln, Olive Branch, MS 38654-6494 | 2019-04-08 |
| 1285106658 | Brian F Seymour Jr. | Nurse Anesthetist, Certified Registered | 13413 Saint Martin Dr, Ocean Springs, MS 39564-9258 | 2018-12-26 |
| 1174095749 | Emily E Randle | Nurse Anesthetist, Certified Registered | 3900 Lakeland Dr Ste 505c, Flowood, MS 39232-8854 | 2018-12-20 |
| 1194213926 | Justin Michael Coats | Nurse Anesthetist, Certified Registered | 1163 Carriage Dr S, Southaven, MS 38671-2330 | 2018-04-26 |
| 1609314400 | Dale P Hotard IIi | Nurse Anesthetist, Certified Registered | 103 Fairview Dr, Vicksburg, MS 39180-8934 | 2017-02-01 |
| 1457807794 | Freelance Anesthesia Mississippi, LLC | Nurse Anesthetist, Certified Registered | 1746 Highway 1 S Ste C, Greenville, MS 38701-7817 | 2016-08-28 |
| 1063873438 | Holder Anesthesia | Nurse Anesthetist, Certified Registered | 2311 Jackson Ave W, Suite 302, Oxford, MS 38655-5750 | 2016-03-14 |
| 1124496906 | Sova Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 2734 Lizzie Cv, Southaven, MS 38671-7510 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 39367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.