WILLIAM WYNN III (NPI# 1164431805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164431805 |
| Entity Type | Individual |
| Full Name | WILLIAM WYNN III |
| Practice Address |
1000 E Primrose St Ste 520 Springfield MO 65807-5180 |
| Practice Telephone | 4172694550 |
| Mailing Telephone | 4172694550 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 143555 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863792 | William John Wynn II | Counselor | 155 Cadillac Pl, Reno, NV 89509-4355 | 2020-05-20 |
| 1720473606 | William Wynn | Counselor | 3230 Spanish Springs Ct, Sparks, NV 89434-9423 | 2015-03-30 |
| 1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1245359371 | William Bernard Wynn Iv | Dentist | 6565 S Yale Ave, Suite 1008, Tulsa, OK 74136-8378 | 2007-03-28 |
| Street Address |
1000 E PRIMROSE ST STE 520 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891353892 | Jason Bradley Laughlin | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-7002 | 2019-06-04 |
| 1053979138 | Kayla Conner Hickey | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2019-06-03 |
| 1609252642 | Henry Joe Morris | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2015-07-31 |
| 1710366539 | Colin Gregory Warnock | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2015-05-26 |
| 1821260258 | Angela D Silvey | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2008-03-26 |
| 1285772491 | Mark S. Mikesch | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2007-02-01 |
| 1114065349 | Luke R Beuterbaugh | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2007-02-01 |
| 1831109586 | Ozark Anesthesia Associates, Inc. | Anesthesiology | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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 |
|---|---|---|---|---|
| 1629536271 | Cameron David Hayter | Nurse Anesthetist, Certified Registered | 1951 N Citation Ave, Springfield, MO 65802-5406 | 2019-03-03 |
| 1154886810 | Pioneer Sedation Pllc | Nurse Anesthetist, Certified Registered | 3550 Main St Ste 103, Springfield, MA 01107-1077 | 2019-02-07 |
| 1487158390 | Springfield Or Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1007 Harlow Rd Ste 110, Springfield, OR 97477-7125 | 2018-03-23 |
| 1720325467 | Douglas Hedge Baker II | Nurse Anesthetist, Certified Registered | 100 W North St, Springfield, OH 45504-2547 | 2013-01-15 |
| 1396000816 | Kyle Adam Kirby | Nurse Anesthetist, Certified Registered | 875 E Jackson Rd, Springfield, OH 45502-7403 | 2012-07-10 |
| 1134232077 | Anicia Boutin Young | Nurse Anesthetist, Certified Registered | 55 St George Rd, Springfield, MA 01104 | 2006-08-16 |
| 1669482196 | Leslie Gloe | Nurse Anesthetist, Certified Registered | 5047 S Burrows Ave, Springfield, MO 65810-2054 | 2006-08-08 |
| 1124089669 | Elise B Arnold | Nurse Anesthetist, Certified Registered | 701 N. 1st Street, Springfield, IL 62781-0001 | 2006-03-31 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1073585063 | Richard T Bell | Nurse Anesthetist, Certified Registered | 1462 I St, Springfield, OR 97477-4116 | 2006-02-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.