MR. WAYNE THOMAS WING (NPI# 1699737585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699737585 |
| Entity Type | Individual |
| Full Name | MR. WAYNE THOMAS WING |
| Credential | PA-C |
| Practice Address |
1900 E Main St Surgical Service Danville IL 61832-5100 |
| Mailing Address |
4 Maple Ct Ogden IL 61859-9765 |
| Practice Telephone | 2175545467 |
| Mailing Telephone | 2175822139 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 E MAIN ST SURGICAL SERVICE |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349799 | Inwha Kim | Internal Medicine | 1900 E Main St, Danville, IL 61832-5100 | 2005-07-11 |
| 1033719208 | Shanon Imena Hardin | Prosthetist | 1900 E Main St, Danville, IL 61832-5100 | 2020-10-27 |
| 1952918435 | Nell Marie Aschenbrener | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-28 |
| 1720693625 | Konrad E Biedron | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-09 |
| 1639783244 | Edward Michael Maher IIi | Peer Specialist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-01 |
| 1114535747 | Kristina Singh Gill | Pharmacist | 1900 E Main St, Danville, IL 61832-5100 | 2020-07-20 |
| 1609493303 | Brandy Mysliwiec | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-29 |
| 1750907796 | John Luis Mclaughlin | Counselor | 1900 E Main St, Danville, IL 61832-5198 | 2020-06-24 |
| 1023633310 | Thomas Nguyen | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-11 |
| 1164047775 | Jane Mary Lakayil | Optometrist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629589981 | Bryce Alden Petersheim | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2017-10-13 |
| 1780076919 | Lauren B. Peters | Physician Assistant | 115 Woodbine Ln, Danville, PA 17822-5212 | 2015-02-25 |
| 1295921732 | Heather D Letcavage | Physician Assistant | 115 Woodbine Ln, Danville, PA 17821-9118 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.