Jason E Wilson (NPI# 1255316808, PAC ID# 5698750461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1255316808 |
| PAC ID by PECOS | 5698750461 |
| Professional Enrollment ID | I20061115000139 |
| Full Name | Jason E Wilson |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Address |
9 Linville Rd Paris KY 40361-2129 |
| Phone Number | 8599873600 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4082527890 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180080 | BAPTIST HEALTH CORBIN |
| 180101 | GEORGETOWN COMMUNITY HOSPITAL |
| 180011 | SAINT JOSEPH LONDON |
| Address | Phone | Organization |
|---|---|---|
| 9 Linville Rd, Paris, KY 40361-2129 | 8599873600 | KENTUCKY ANESTHESIA GROUP PSC |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Harwood | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Stanley A Kristiansen | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
| Michael D. Goodwin | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Crystal Carpenter | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Corissa L. Stovall | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Harry A Morgan | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Benjamin T Kabel | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Bradford A Shelby | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Anthony Jay Lopez | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Raymond Depa | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Street Address |
9 LINVILLE RD |
| City | PARIS |
| State | KY |
| Zip | 40361-2129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D. Goodwin | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Harry A Morgan | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Anthony Jay Lopez | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Raymond Depa | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| George A Kargas | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Joseph C Stiltner | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Edward Ziembroski | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Raymond J Monaco Jr. | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Jennifer A Blish | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta Lynn Allison | General Practice | 2017 S Main St, Suite 7, Paris, KY 40361-1167 | |
| John D Conklin | Ophthalmology | Kentucky Medical Services Foundation, Inc | 2017 S Main St, Suite 6, Paris, KY 40361-1167 |
| Brett A Hines | Optometry | Dr Brett A Hines Psc | 1543 Main St, Paris, KY 40361-1203 |
| Angela M Scifres | Optometry | Dr Brett A Hines Psc | 1543 Main St, Paris, KY 40361-1203 |
| Dustin L Arthur | Physical Therapy | Professional Rehabilitation Associates, Psc | 2117 Rocky Dr, Paris, KY 40361-1370 |
| Dannita Crossfield | Physical Therapy | Professional Rehabilitation Associates, Psc | 2117 Rocky Dr, Paris, KY 40361-1370 |
| Braden D Plowman | Physical Therapy | Professional Rehabilitation Associates, Psc | 2117 Rocky Dr, Paris, KY 40361-1370 |
| Candace D Morton | Physical Therapy | Professional Rehabilitation Associates, Psc | 2117 Rocky Dr, Paris, KY 40361-1370 |
| Kimberly R Snapp | Clinical Social Worker | 2 E 4th St, Paris, KY 40361-1802 | |
| Lucinda Kerr Batta | Qualified Audiologist | Bluegrass Hearing Clinic, LLC | 20 E 5th St, Paris, KY 40361-1840 |
| Find all physicians in zip 40361 | |||
| City | PARIS |
| Zip Code | 40361 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PARIS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.