KEITH WANDOLOWSKI (NPI# 1295989929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295989929 |
| Entity Type | Individual |
| Full Name | KEITH WANDOLOWSKI |
| Credential | CRNA |
| Practice Address |
10000 W Colonial Dr Ocoee FL 34761 |
| Mailing Address |
14161 Baroness Ct Orlando FL 32828-7801 |
| Practice Telephone | 2068509151 |
| Mailing Telephone | 2068509151 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 268405 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41 Mall Rd, Burlington, MA 018050001 | 7817445100 |
| Street Address |
10000 W COLONIAL DR |
| City | OCOEE |
| State | FL |
| Zip Code | 34761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622789 | Naveen Darakshan | Internal Medicine | 10000 W Colonial Dr, Suite 480, Ocoee, FL 34761-3498 | 2005-07-08 |
| 1407454135 | Krista Parsons | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3499 | 2020-10-14 |
| 1528603990 | Melissa Christin Bosser | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2019-11-08 |
| 1407406853 | Tara Marie Chapman | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2019-09-18 |
| 1376191023 | Jawed Akhter Mallick | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2019-08-27 |
| 1053978957 | Abigail Key | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3499 | 2019-05-26 |
| 1619449246 | Chad Michael Ward | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2018-12-20 |
| 1891292306 | Viviana Gambuzza | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2018-04-11 |
| 1326543562 | Christina M Broom | Emergency Medicine | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2018-03-29 |
| 1912437419 | Cindy J Barrington | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761 | 2017-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
| 1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
| 1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
| 1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
| 1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
| 1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
| 1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
| 1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
| Find all providers in zip 34761 | ||||
| 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 |
|---|---|---|---|---|
| 1588004949 | Charlene Reynolds | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2013-07-01 |
| 1346427838 | Donna Dere | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2008-01-28 |
| 1629094594 | Jack Perce | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-07-14 |
| 1891711768 | Stephen Sherer | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-07-14 |
| 1346265642 | Anne A Crosby | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-07-13 |
| 1114943487 | Deanne Fernandez-jones | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-07-13 |
| 1336172808 | Gary Feldmann | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-07-08 |
| 1831126408 | John Appel | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-06-27 |
| 1467488239 | Minerva Betancourt | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-06-24 |
| 1114962891 | Charles Hauser | Nurse Anesthetist, Certified Registered | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-06-18 |
| Find all providers in OCOEE | ||||
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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.