MYRA CLAVIER WISE (NPI# 1205950771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205950771 |
| Entity Type | Individual |
| Full Name | MYRA CLAVIER WISE |
| Credential | MD |
| Practice Address |
424 W Mcneese St Lake Charles LA 70605-5547 |
| Practice Telephone | 3374780511 |
| Practice Fax Number | 3374785644 |
| Mailing Telephone | 3374780511 |
| Mailing Fax Number | 3374785644 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 018805 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1460206 | 05 |
| Street Address |
424 W MCNEESE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043297229 | Russell A Guidry | Anesthesiology | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2005-12-28 |
| 1124653712 | Anthony J. Cutrera | Nurse Anesthetist, Certified Registered | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2020-03-04 |
| 1144675943 | Jason Paul Breaux | Nurse Anesthetist, Certified Registered | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2016-04-29 |
| 1649318957 | Debra Tower Mallett | Nurse Anesthetist, Certified Registered | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2007-02-01 |
| 1538211206 | Jacob D Ryan | Nurse Anesthetist, Certified Registered | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2007-01-16 |
| 1588674790 | Lake Charles Anesthesiology, Apmc | Anesthesiology | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2006-08-09 |
| 1538181003 | Chad W Ledoux | Anesthesiology | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2006-07-24 |
| 1730115411 | James Earl Brooks | Registered Nurse | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2006-06-24 |
| 1023082104 | John Bradford Carlin | Anesthesiology | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2006-02-15 |
| 1598739955 | Mark Lance Doiron | Anesthesiology | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750782025 | Lake Area Anesthesia Inc | Anesthesiology | 809 Garden Ln, Lake Charles, LA 70605-3321 | 2014-09-05 |
| 1457586141 | Tammy Lynn Fairchild | Anesthesiology | 4501 Nelson Rd Bldg A, Suite 4, Lake Charles, LA 70605-5207 | 2009-05-25 |
| 1386801918 | Chad David Fairchild | Anesthesiology | 4150 Nelson Rd # A, Suite 4, Lake Charles, LA 70605-4148 | 2008-05-21 |
| 1306021282 | John Shane Mallett | Anesthesiology | 751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 | 2008-01-09 |
| 1841492196 | Seth Thomas Billiodeaux | Anesthesiology | 4345 Nelson Rd, Lake Charles, LA 70605-4156 | 2007-05-31 |
| 1427038827 | John L Scott | Anesthesiology | 751 E Bayou Pines Dr, Suite L, Lake Charles, LA 70601-7196 | 2006-01-20 |
| 1609853928 | Ronald Moore Lewis | Anesthesiology | 4150 Nelson Rd., Building A-suite 4 Anesthesia Associates, Lake Charles, LA 70605 | 2005-12-28 |
| 1043297229 | Russell A Guidry | Anesthesiology | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2005-12-28 |
| 1699760264 | Joshua A Allen | Anesthesiology | 215 W Prien Lake Rd, Coastal Pain Care, Lake Charles, LA 70601-8450 | 2005-09-20 |
| 1588165617 | Seth Billiodeaux Md LLC | Anesthesiology | 4345 Nelson Rd, Lake Charles, LA 70605-4156 | 2018-02-23 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.