FREDERICK WICKWIRE (NPI# 1265414965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265414965 |
| Entity Type | Individual |
| Full Name | FREDERICK WICKWIRE |
| Credential | CRNA |
| Practice Address |
7150 Clearvista Drive Indianapolis IN 46256-1695 |
| Mailing Address |
9834 Northwind Dr Indianapolis IN 46256-9343 |
| Practice Telephone | 3176215890 |
| Practice Fax Number | 3173552205 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28115235A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100358680 | 05 | |
| IN | ANTHEM | 000000108959 | 01 |
| Street Address |
7150 CLEARVISTA DRIVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255795787 | Katherine Cothern | Pediatrics | 7150 Clearvista Drive, Community Pediatric Hospitalists, Indianapolis, IN 46256-1695 | 2016-04-11 |
| 1811175300 | Shannon M Giltner | Nurse Practitioner | 7150 Clearvista Drive, Neonatal Department, Indianapolis, IN 46256-1695 | 2008-02-06 |
| 1871779157 | Community Hospitals of Indiana Inc | Obstetrics & Gynecology | 7150 Clearvista Drive, Laborist Dept, Indianapolis, IN 46256-4699 | 2008-01-16 |
| 1497931786 | Community Hospitals of Indiana Inc | Nurse Practitioner | 7150 Clearvista Drive, Neonatal Dept, Indianapolis, IN 46256-4699 | 2008-01-16 |
| 1992909105 | Community Hospitals of Indiana Inc | Hospitalist | 7150 Clearvista Drive, Chn Pediatric Unit, Indianapolis, IN 46256-1695 | 2007-06-12 |
| 1659434710 | James Andrew Eads | Nurse Anesthetist, Certified Registered | 7150 Clearvista Drive, Indianapolis, IN 46256 | 2006-12-19 |
| 1508824905 | Michael D Jacob | Nurse Anesthetist, Certified Registered | 7150 Clearvista Drive, Indianapolis, IN 37043 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| 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 |
|---|---|---|---|---|
| 1598139784 | Gloria Clampitt | Nurse Anesthetist, Certified Registered | 4719 Moss Creek Ct, Indianapolis, IN 46237-2940 | 2015-11-25 |
| 1891832754 | Daniel Hayden | Nurse Anesthetist, Certified Registered | 7150 Clearvista Avenue, Indianapolis, IN 46256 | 2007-01-31 |
| 1174506042 | Nancy Louise Alltop II | Nurse Anesthetist, Certified Registered | 1500 N. Ritter Avenue, Indianapolis, IN 46227-0963 | 2005-11-23 |
| 1659379873 | Raymond Edward Baker | Nurse Anesthetist, Certified Registered | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2005-07-12 |
| 1801403928 | Morgan Lewis | Nurse Anesthetist, Certified Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-24 |
| 1336764158 | Kristina A Vasnaik | Nurse Anesthetist, Certified Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-06-09 |
| 1528550241 | Midwest Gastroenterology LLC | Nurse Anesthetist, Certified Registered | 8051 S Emerson Ave Ste 150, Indianapolis, IN 46237 | 2018-05-30 |
| 1295104883 | Jane B Parker Crna LLC | Nurse Anesthetist, Certified Registered | 9002 N Meridian St, Indianapolis, IN 46260-5381 | 2015-09-24 |
| 1760871362 | Jessica Crosby | Nurse Anesthetist, Certified Registered | 7150 Clearvista Dr, Indianapolis, IN 46256 | 2015-01-20 |
| 1659775740 | Ivan Legoas Crna, LLC | Nurse Anesthetist, Certified Registered | 9002 N Meridian St, Lower Level, Indianapolis, IN 46260-5381 | 2014-10-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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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.