PETER WOLFENBERGER (NPI# 1487023529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487023529 |
| Entity Type | Individual |
| Full Name | PETER WOLFENBERGER |
| Practice Address |
459 Highway 119 S Springfield GA 31329-3021 |
| Mailing Address |
400 Mall Blvd Suite T Savannah GA 31406-4861 |
| Practice Telephone | 9127540433 |
| Mailing Telephone | 9123557214 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
459 HIGHWAY 119 S |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669435111 | Francisco Espirit De La Rosa | Emergency Medicine | 459 Highway 119 S, Springfield, GA 31329-3021 | 2006-04-07 |
| 1730792805 | Helen Letara King | Nurse Practitioner | 459 Highway 119 S, Springfield, GA 31329-3021 | 2020-08-28 |
| 1245867688 | Effingham Hospital, Inc. | Pharmacy | 459 Highway 119 S, Springfield, GA 31329-3021 | 2020-03-25 |
| 1144862806 | Kalnettie Deshond Cayman | Nurse Practitioner | 459 Highway 119 S, Springfield, GA 31329-3021 | 2019-10-15 |
| 1558881078 | Ashley Kessler Dasher | Nurse Practitioner | 459 Highway 119 S, Springfield, GA 31329-3021 | 2017-06-26 |
| 1487024402 | Mary Hilliard | Anesthesiologist Assistant | 459 Highway 119 S, Springfield, GA 31329-3021 | 2015-10-02 |
| 1962871004 | Jonathan Hester | Anesthesiologist Assistant | 459 Highway 119 S, Springfield, GA 31329-3021 | 2015-09-18 |
| 1710356845 | Ansley Smith | Anesthesiologist Assistant | 459 Highway 119 S, Springfield, GA 31329-3021 | 2015-09-18 |
| 1619398328 | Southern Surgical Providers, PC | Specialist | 459 Highway 119 S, Physician Center # 2, Springfield, GA 31329-3021 | 2013-12-23 |
| 1407141690 | Katrin Usifo | Internal Medicine | 459 Highway 119 S, Springfield, GA 31329 | 2011-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538418793 | Brent R Fairbanks | Anesthesiologist Assistant | 1235 E Cherokee, Springfield, MO 65804-2203 | 2012-09-04 |
| 1801408190 | Anthony R Hogan | Anesthesiologist Assistant | 100 W Main St, Springfield, OH 45502-1312 | 2020-08-19 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| 1710501770 | Brittany Fox | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-06-04 |
| 1316592967 | Joshua Rogers | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-08-09 |
| 1750941431 | Madison Blair Howard | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-06-16 |
| 1356901060 | Sean Michael Apple | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-06-14 |
| 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 |
| 1710462635 | Catherine Hogan | Anesthesiologist Assistant | 100 W Main St, Springfield, OH 45502-1312 | 2018-09-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 31329 |
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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.