Paul Wayne (NPI# 1912960865, PAC ID# 7315901949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1912960865 |
| PAC ID by PECOS | 7315901949 |
| Professional Enrollment ID | I20101220000912 |
| Full Name | Paul Wayne |
| Organization Legal Name | ECGJ ANESTHESIA LLC |
| Address |
1035 Wellington Ave Grand Junction CO 81501-8122 |
| Phone Number | 9702426600 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2001 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9133364466 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030064 | BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1035 Wellington Ave, Grand Junction, CO 81501-8122 | 9702426600 | ECGJ ANESTHESIA LLC |
| 2800 E Ajo Way, Tucson, AZ 85713-6204 | 5208742000 | B--UMG TUCSON AP PHYSICIANS LLC |
| Organization Legal Name | ECGJ ANESTHESIA LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Burton-vigil | Certified Registered Nurse Anesthetist (crna) | Ecgj Anesthesia LLC | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Christopher G Mroz | Certified Registered Nurse Anesthetist (crna) | Ecgj Anesthesia LLC | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Street Address |
1035 WELLINGTON AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81501-8122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent J Prosser | Gastroenterology | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| George R Winters Iii | Gastroenterology | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Steven Seagren | Gastroenterology | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Karen F Mcgrew | Nurse Practitioner | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| William Shields | Gastroenterology | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Jessica A Burton-vigil | Certified Registered Nurse Anesthetist (crna) | Ecgj Anesthesia LLC | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Eugene M Crafton | Gastroenterology | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Philip H. Sarges | Gastroenterology | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Kirsten Marie Boland | Physician Assistant | Grand Junction Gastroenterology Pllc | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Christopher G Mroz | Certified Registered Nurse Anesthetist (crna) | Ecgj Anesthesia LLC | 1035 Wellington Ave, Grand Junction, CO 81501-8122 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikos P Hollis | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Leah N Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Rosa Louise Brey Gardner | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Erica D Lovett Fournier | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jared Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jeanne M Haberer | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Crystal Dawn Owens | Hospice/palliative Care | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephanie Sayers | Osteopathic Manipulative Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephen R Pyland | Clinical Social Worker | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Andrea L Nederveld | Pediatric Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Find all physicians in zip 81501 | |||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GRAND JUNCTION + 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.