Derek Wilson (NPI# 1841668035, PAC ID# 3577872217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1841668035 |
PAC ID by PECOS | 3577872217 |
Professional Enrollment ID | I20151021000784 |
Full Name | Derek Wilson |
Organization Legal Name | MARYVILLE ANESTHESIOLOGISTS PC |
Address |
907 E Lamar Alexander Pkwy Maryville TN 37804-5015 |
Phone Number | 3176149863 |
Gender | M |
Graduation Year | 2015 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 0345257606 |
Number of Group Practice Members | 29 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440011 | BLOUNT MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 3176149863 | MARYVILLE ANESTHESIOLOGISTS PC |
100 Northcrest Dr, Springfield, TN 37172-3927 | 9018441590 | LIFELINC ANESTHESIA SPRINGFIELD PLLC |
Organization Legal Name | MARYVILLE ANESTHESIOLOGISTS PC |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa C Blackwood | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 763 E Lamar Alexander Pkwy, Maryville, TN 37804-5000 |
Daniela R Apostoaei | Anesthesiology | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Cheryl E Coleman | Anesthesiology | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Donna M Mcmahan | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Amanda Carey | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Matthew R Kovach | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Crystal Aycocke | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Sarah E Hunt | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 763 E Lamar Alexander Pkwy, Maryville, TN 37804-5000 |
Janet C Hudson | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Mary Ann Cope | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 763 E Lamar Alexander Pkwy, Maryville, TN 37804-5000 |
Street Address |
907 E LAMAR ALEXANDER PKWY |
City | MARYVILLE |
State | TN |
Zip | 37804-5015 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniela R Apostoaei | Anesthesiology | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Jack T Roberts | Hospitalist | Blount Memorial Physician Group Inc | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Christina M Fowler | Nurse Practitioner | Blount Memorial Physician Group Inc | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Dalya T Frank | Nurse Practitioner | Blount Memorial Physician Group Inc | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Jessica Rop | Nurse Practitioner | Blount Senior Care Partners, Pllc | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Aimee A Wehber | Hospitalist | Blount Memorial Physician Group Inc | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Cheryl E Coleman | Anesthesiology | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Donna M Mcmahan | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Laura E Yount | Internal Medicine | Blount Memorial Physician Group Inc | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Amanda Carey | Certified Registered Nurse Anesthetist (crna) | Maryville Anesthesiologists PC | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary K Poese | Physician Assistant | Carole L Long Md PC | 2036 Chilhowee, Professional Bldg, Maryville, TN 37804-0001 |
Paul D Rook | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
Natalie H Mcamis | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
Elisabeth J Galloway | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
Sharon N Chastain | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
Tracy Gibson Grabman | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
Angela L Obear | Clinical Social Worker | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
Shannon E Everette | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
Renee J Hyatt | Internal Medicine | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
Traci C Grime | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
Find all physicians in zip 37804 |
City | MARYVILLE |
Zip Code | 37804 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | MARYVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Derek Wilson.
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.