WILSHIRE INTERVENTIONAL PAIN CENTER LLC (NPI# 1437532850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437532850 |
| Entity Type | Organization |
| Organization Name | WILSHIRE INTERVENTIONAL PAIN CENTER LLC |
| Practice Address |
901 W 38th St Suite 101 Austin TX 78705-1163 |
| Mailing Address |
Po Box 674326 Dallas TX 75267-4326 |
| Practice Telephone | 5125012110 |
| Practice Fax Number | 5123718747 |
| Mailing Telephone | 5124671100 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | KRISTY MCGILL (DIRECTOR OF NETWORK DEVELOPMENT) |
| Authorized Official Telephone | 9722157410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 W 38TH ST SUITE 101 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861897 | Russell A Hayhurst | Ophthalmology | 901 W 38th St, Ste 303, Austin, TX 78705-1163 | 2005-09-14 |
| 1124598917 | Seton Oral & Maxillofacial Surgery | Dentist | 901 W 38th St, Suite 410, Austin, TX 78705 | 2018-12-05 |
| 1336522754 | Sc Spine Partners LLC | Nurse Anesthetist, Certified Registered | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-07-02 |
| 1609265891 | Abs Spine Partners LLC | Clinic/Center | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-01-12 |
| 1972925105 | Michelle Kim | Dentist | 901 W 38th St, Suite 410, Austin, TX 78705-1163 | 2014-01-07 |
| 1457617821 | Westlake Interventional Pain Center LLC | Clinic/Center | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2012-04-10 |
| 1992071922 | Cristina Salazar | Physician Assistant | 901 W 38th St, Suite 301, Austin, TX 78705-1163 | 2012-03-23 |
| 1174897870 | Rachel Alicia Smith | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2012-02-28 |
| 1720370760 | Lauren Nicole Sederholm | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2011-05-10 |
| 1366744468 | Renee L Westwood | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2010-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| 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 |
|---|---|---|---|---|
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
| 1265969372 | Omar Garcia | Nurse Anesthetist, Certified Registered | 4100 Duval Rd Ste 100, Austin, TX 78759-3550 | 2017-05-19 |
| 1033662754 | Eliza Lacour | Nurse Anesthetist, Certified Registered | 111 Sandra Muraida Way, Apt 13j, Austin, TX 78703-4694 | 2016-07-28 |
| 1427405810 | Austin Gastroenterology Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 4310 James Casey St Ste 4b, Austin, TX 78745-1120 | 2016-05-16 |
| 1568829521 | Monica Natividad | Nurse Anesthetist, Certified Registered | 6104 Belfast Dr, Austin, TX 78723-1835 | 2016-01-21 |
| 1356602007 | Melissa Deshotels | Nurse Anesthetist, Certified Registered | 8140 N. Mopac, #3-210, Austin, TX 78759 | 2012-05-30 |
| 1457640278 | Eag Healthcare LLC | Nurse Anesthetist, Certified Registered | 4330 Gaines Ranch Loop, Suite 220, Austin, TX 78735-6733 | 2011-04-01 |
| 1285769505 | Breanna D. Sweeney | Nurse Anesthetist, Certified Registered | 8140 N Mo Pac Expy Ste 3-210, Austin, TX 78759-8862 | 2007-02-23 |
| 1538205810 | Linda Tetrick | Nurse Anesthetist, Certified Registered | 1250 Capitol of Texas Hwy S, Bldg 3 Suite 380, Austin, TX 78746 | 2007-01-30 |
| 1467488874 | Sharon Brinker Heiss | Nurse Anesthetist, Certified Registered | 900 Old Koenig Ln, Austin, TX 78756-1528 | 2006-06-25 |
| Find all providers in AUSTIN | ||||
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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.