MR. RONALD EVERETT WYATT (NPI# 1497731848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497731848 |
| Entity Type | Individual |
| Full Name | MR. RONALD EVERETT WYATT |
| Credential | CRNA |
| Practice Address |
2200 Berquist Dr 59 Medical Wing/credentials Lackland Afb TX 76236-5300 |
| Mailing Address |
1022 Jan Lee Dr Burkburnett TX 76354-2916 |
| Practice Telephone | 9406760868 |
| Mailing Telephone | 9407040456 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 715033 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194897926 | Ronald Wyatt | Orthopaedic Surgery | 200 Muir Rd, Martinez, CA 94553-4614 | 2006-11-15 |
| 1689659492 | Ronald M Wyatt | Internal Medicine | 8371 Highway 72 W, Suite 104, Madison, AL 35758-9505 | 2005-12-14 |
| Street Address |
2200 BERQUIST DR 59 MEDICAL WING/CREDENTIALS |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 76236-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362218 | Matthew Gerard Retzloff | Obstetrics & Gynecology | 2200 Berquist Dr, 859 Mdos/mmno, Suite 1, Lackland Afb, TX 78236-5300 | 2005-11-02 |
| 1245540566 | Emmalyn V. Tague | Physician Assistant | 2200 Berquist Dr, Lackland Afb, TX 78236-6040 | 2010-10-20 |
| 1659592459 | Steven Franklin Robertson Jr. | Dentist | 2200 Berquist Dr, Ste 1, Lackland Afb, TX 78236-9908 | 2007-05-01 |
| 1669451506 | Edmund Sami Sabanegh Jr. | Urology | 2200 Berquist Dr, Ste 1, Credentials/cmc, Lackland Afb, TX 78236-5300 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1336793850 | Laura Cosimi | Pediatrics | 1100 Wilford Hall Loop Bldg 45554, Lackland Afb, TX 78236-5638 | 2019-08-01 |
| 1457835290 | Bryan P Meyenberg | Specialist/Technologist | 1450 Metzger St Bldg 10416, Lackland Afb, TX 78236-5423 | 2018-09-18 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1407205065 | Us Army | Point of Service | 1320 Truemper St Unit 369401, Jbsa Lackland Afb, Lackland Afb, TX 78236-6094 | 2016-06-05 |
| 1346631876 | Christopher Jorgensen | General Practice | 2200 Bergquist Dr. Ste 1, Whasc/psychiatry - 59 Mhs/sgow, Lackland Afb, TX 78236-9908 | 2015-02-05 |
| 1508208059 | Rachel E. Lewin | Dentist | Air Force Postgraduate Dental School - Orthodontics, 2133 Pepperrell St, Lackland Afb, TX 78236 | 2013-07-25 |
| 1407198823 | David Chase Rogers | Preventive Medicine | 1100 Wilfod Hall Loop, Bldg. 4556, Lackland Afb, TX 78236-9908 | 2013-03-24 |
| 1992057178 | Drew Edward Lancaster | Physician Assistant | 1515 Truemper St Bldg 6612, Lackland Afb, TX 78236-5583 | 2012-10-11 |
| 1912223710 | Laura E Street | Student in an Organized Health Care Education/Training Program | 59 Mhs/sgowv1, 2200 Bergquist Dr Ste 1, Whmc/psychiatry, Lackland Afb, TX 78236-9908 | 2010-04-19 |
| Find all providers in LACKLAND AFB | ||||
| 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 |
|---|---|---|---|---|
| 1013973486 | Marilee Lorraine Edwards | Nurse Anesthetist, Certified Registered | 2200 Berquist Dr Wilford Hall Medical Center, Ste 1, Lackland Afb, TX 78236-5300 | 2006-04-25 |
| 1386622389 | William John Craig | Nurse Anesthetist, Certified Registered | 59th Msgs/mcoa, 2200 Bergquist Dr. Suite 1, Lackland Afb, TX 78236-5300 | 2006-01-09 |
| 1639157746 | Jeffrey Carl Darius | Nurse Anesthetist, Certified Registered | 2200 Bergquist Dr, Suite 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-5300 | 2006-01-09 |
| 1376780015 | Eric Andrew Gonzales | Nurse Anesthetist, Certified Registered | 2200 Bergquist Drive, Suite 1, Lackland Afb, TX 78236 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 76236 |
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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.