MR. BRUCE MICHAEL WILSON (NPI# 1134106289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134106289 |
| Entity Type | Individual |
| Full Name | MR. BRUCE MICHAEL WILSON |
| Credential | CRNA |
| Practice Address |
1405 W Jefferson St Waxahachie TX 75165-2231 |
| Mailing Address |
800 N Highway 77 Ste 160 Pmb#224 Waxahachie TX 75165-1884 |
| Practice Telephone | 9729377240 |
| Practice Fax Number | 9729374255 |
| Mailing Telephone | 9729377240 |
| Mailing Fax Number | 9729374255 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 253451 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530551 | Bruce Allen Wilson Jr. | Counselor | 6821 Yakima Ave, Tacoma, WA 98408-5514 | 2018-06-04 |
| 1801049556 | Bruce Wayne Wilson Jr. | Military Health Care Provider | Uss Nashville, Lpd 13, Fpo, AE 09579-1715 | 2008-10-28 |
| 1962561290 | Bruce T Wilson | Dentist | 322 Hwy 18, Manila, AR 72442 | 2006-12-06 |
| 1295826857 | Bruce Edward Wilson | Internal Medicine | 925 Stevens Dr Ste 2e, Richland, WA 99352-3523 | 2006-09-27 |
| 1538188032 | Bruce Edward Wilson | Nurse Anesthetist, Certified Registered | 3840 Fairway Dr, Lapeer, MI 48446-4302 | 2006-07-18 |
| 1346294063 | Bruce Taylor Wilson | Dentist | 123 N 19th Street, Middlesboro, KY 40965-1786 | 2006-05-19 |
| 1295289387 | Bruce Alan Wilson | Pharmacist | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2016-08-07 |
| 1457667487 | Bruce Leonard Wilson | Internal Medicine | 2073 Klockner Raod, Hamilton, NJ 08690 | 2010-08-27 |
| 1548313281 | Bruce Leslie Wilson | Psychologist | 153 E Main St, Suite E, Mount Kisco, NY 10549-2317 | 2007-01-18 |
| 1982761565 | Bruce A. Wilson | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
| Street Address |
1405 W JEFFERSON ST |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380507 | Baylor Medical Center At Waxahachie | Durable Medical Equipment & Medical Supplies | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2005-07-14 |
| 1851762660 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2015-10-20 |
| 1932449055 | Kellee Lorraine Randle | Internal Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2013-02-26 |
| 1982900460 | Pathologists Bio-medical Laboratories Pllc | Pathology | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2011-02-01 |
| 1336340694 | Eidi K Millington | Internal Medicine | 1405 W Jefferson St, Waxahachie, TX 75165 | 2007-05-31 |
| 1972670529 | Texas Em-1 Medical Services, Pa | Physician Assistant | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-11-29 |
| 1558371682 | Fawad A Tufail | Internal Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-09 |
| 1831108661 | Derrick Chase Owens | Family Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-08 |
| 1437168242 | Vickie Ann Kuhn | Nurse Practitioner | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-08 |
| 1689683419 | Brenda S Rapp | Nurse Practitioner | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| 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 |
|---|---|---|---|---|
| 1134161284 | Carolyn Green | Nurse Anesthetist, Certified Registered | 2400 North I 35e, Waxahachie, TX 75165 | 2006-06-12 |
| 1598742504 | Charles Dale Stevenson | Nurse Anesthetist, Certified Registered | 106 Lucas St, Waxahachie, TX 75165-2202 | 2005-12-30 |
| 1336141001 | Melinda Beth Miller | Nurse Anesthetist, Certified Registered | 1324 Brown St, Suite 600, Waxahachie, TX 75165-1421 | 2005-08-12 |
| 1801242441 | Pinnacle Pain Management Pllc | Nurse Anesthetist, Certified Registered | 1324 Brown St Ste 600, Waxahachie, TX 75165-1426 | 2016-05-13 |
| 1003189820 | Blue Star Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 106 Lucas St, Waxahachie, TX 75165-2202 | 2012-02-10 |
| 1003133265 | Benchmark Anesthesia Consultants Pllc | Nurse Anesthetist, Certified Registered | 800 N Highway 77, Ste 160-224, Waxahachie, TX 75165-1884 | 2010-04-28 |
| 1417112574 | Adoracion Aguiar & Associates LLP | Nurse Anesthetist, Certified Registered | 101 Ymca Dr, Waxahachie, TX 75165-5124 | 2008-07-28 |
| 1144410226 | Complete Anesthesia Care, P.C. | Nurse Anesthetist, Certified Registered | 106 Lucas St, Waxahachie, TX 75165-2202 | 2007-07-26 |
| 1346218138 | Olga L Futrell | Nurse Anesthetist, Certified Registered | 106 Lucas St, Waxahachie, TX 75165-2202 | 2006-03-09 |
| 1528045648 | Deryl Wright | Nurse Anesthetist, Certified Registered | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2005-12-29 |
| Find all providers in WAXAHACHIE | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
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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.