MR. STEVEN EDWARD WILDASIN (NPI# 1285614560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285614560 |
| Entity Type | Individual |
| Full Name | MR. STEVEN EDWARD WILDASIN |
| Credential | CRNA |
| Practice Address |
Naval Hospital Jacksonville 2080 Child Street Jacksonville FL 32214-0001 |
| Mailing Address |
286 Ridgeline Ct Orange Park FL 32065-5715 |
| Practice Telephone | 9045427631 |
| Practice Fax Number | 9045427623 |
| Mailing Telephone | 9042723785 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 9223320 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32214-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590826 | Jennifer Lisa Vedral-baron | Nurse Practitioner | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2005-10-05 |
| 1386178101 | Tej Bhula Diah | Dentist | Naval Hospital Jacksonville, Jacksonville, FL 32214-0001 | 2017-04-18 |
| 1588032809 | Ralee Spooner | Dentist | Naval Hospital Jacksonville, 2080 Child St., Jacksonville, FL 32214-0001 | 2015-09-03 |
| 1114367562 | Lundon Shari Brown | Registered Nurse | Naval Hospital Jacksonville, Jacksonville, FL 32214-0001 | 2013-06-30 |
| 1700126026 | James Dominic Haddad | Internal Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2013-02-23 |
| 1932468055 | Joshua Tatum | Student in an Organized Health Care Education/Training Program | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2012-05-09 |
| 1790051118 | Robert Merle Obryan | Emergency Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2012-03-29 |
| 1265709869 | Christine Dahl Davies | Nurse Practitioner | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2011-11-27 |
| 1578707444 | Laurie Ann Hale | Nurse Practitioner | Naval Hospital Jacksonville, 2018 Child Street, Jacksonville, FL 32214-0001 | 2009-04-23 |
| 1073697025 | Kristian E Sanchack | Family Medicine | Naval Hospital Jacksonville, 2080 Childs St, Jacksonville, FL 32214-0001 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255653 | Natalia Rosa Terreros | Nurse Practitioner | 2080 Childs Street, Jacksonville, FL 32214 | 2018-08-20 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1730169202 | Quinn Steven Bastian | Psychologist | 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 | 2006-01-19 |
| 1407342314 | Jeremiah D. Bond | Nurse Anesthetist, Certified Registered | 2080 Child St, Jacksonville, FL 32214 | 2018-07-03 |
| 1295228393 | Christopher John Gilbertson | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-06-13 |
| 1043714405 | Adam Blake Hoynacki | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1114447950 | Brenna Michelle Smith | Pharmacist | 2080 Child St, Jacksonville, FL 32214 | 2017-06-22 |
| 1639558687 | Catherine Phuong-tu Perrault | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2015-05-22 |
| 1184044950 | Jason Michael Pesqueira | Student in an Organized Health Care Education/Training Program | 2080 Child St, Family Medicine Clinic, Jacksonville, FL 32214 | 2014-04-21 |
| Find all providers in zip 32214 | ||||
| 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 |
|---|---|---|---|---|
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1215436423 | Jenitre Shavonne Moore | Nurse Anesthetist, Certified Registered | 5885 Edenfield Rd Apt L32, Jacksonville, FL 32277-1203 | 2018-02-03 |
| 1811402407 | Aubrey Crowe | Nurse Anesthetist, Certified Registered | 1415 Windsor Pl, Jacksonville, FL 32205-7910 | 2017-12-05 |
| 1497294516 | Megan Powell | Nurse Anesthetist, Certified Registered | 13003 Springs Manor Dr, Jacksonville, FL 32258-8437 | 2017-02-22 |
| 1679017123 | Catherine Scanlon | Nurse Anesthetist, Certified Registered | 4635 Charles Bennett Dr, Jacksonville, FL 32225-1301 | 2016-12-16 |
| 1720444623 | Katrina Canady | Nurse Anesthetist, Certified Registered | 13609 Devan Lee Dr E, Jacksonville, FL 32226-5810 | 2016-01-07 |
| 1104291822 | Jenny Kambel | Nurse Anesthetist, Certified Registered | 13856 Herons Landing Way, Apt 5, Jacksonville, FL 32224-6065 | 2015-12-07 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1437540234 | Catherine Simms | Nurse Anesthetist, Certified Registered | 400 Health Park Boulevard St., Jacksonville, FL 32086 | 2015-02-16 |
| 1699164889 | Valerie Wolff Aquino | Nurse Anesthetist, Certified Registered | 8638 Stanmoor Ct, Jacksonville, FL 32244-7160 | 2015-01-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32214 |
Please comment or provide details below to improve the information on MR. STEVEN EDWARD WILDASIN.
| 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.