John David Waegerle (NPI# 1033226170, PAC ID# 4082665302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1033226170 |
PAC ID by PECOS | 4082665302 |
Professional Enrollment ID | I20050203000744 |
Full Name | John David Waegerle |
Organization Legal Name | SMG ANESTHESIA SPECIALISTS LLC |
Address |
2800 Godwin Blvd Suffolk VA 23434-8038 |
Phone Number | 7579344000 |
Gender | M |
Credential | CNA |
Graduation Year | 1991 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 6305081118 |
Number of Group Practice Members | 79 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490044 | SENTARA OBICI HOSPITAL |
Address | Phone | Organization |
---|---|---|
2800 Godwin Blvd, Suffolk, VA 23434-8038 | 7579344000 | SMG ANESTHESIA SPECIALISTS LLC |
2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 7575071000 | SMG ANESTHESIA SPECIALISTS LLC |
Organization Legal Name | SMG ANESTHESIA SPECIALISTS LLC |
Physicians | 71 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gary J Waxman | Anesthesiology | Smg Anesthesia Specialists LLC | 1975 Glenn Mitchell Dr, Suite 300, Virginia Beach, VA 23456-0167 |
Laura G Smith | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
Teresa Robin Cousins | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
Danny Coleman Sandefur | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
Susan A Murrell | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
Robert M. Bettis | Anesthesiology | Smg Anesthesia Specialists LLC | 1975 Glenn Mitchell Dr, Suite 300, Virginia Beach, VA 23456-0167 |
Angelina Mavropoulos | Anesthesiology | Smg Anesthesia Specialists LLC | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
Kathryn Ann Longworth | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
Lisa C Gander | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
Robin D Gibbs | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
Street Address |
2800 GODWIN BLVD |
City | SUFFOLK |
State | VA |
Zip | 23434-8038 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fisseha Y Ghidey | Hospitalist | Sentara Medical Group | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
Alex Reichmeider | Emergency Medicine | Emergency Physicians of Tidewater | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
David G Marcheschi | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
James Post | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
James Smith | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
Jimmy W. Green | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
Robin D Gibbs | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
Katherine A Naidu | Anesthesiology | Smg Anesthesia Specialists LLC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
David E Jennings | Emergency Medicine | Emergency Physicians of Tidewater | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
Gregory Mark Hemelt | Certified Registered Nurse Anesthetist (crna) | Smg Anesthesia Specialists LLC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Tysheena Lanee Jones | Nurse Practitioner | 4209 Ravine Gap Dr, Suffolk, VA 23434-3055 | |
Geranameo Vladmire Bullock | Psychiatry | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
Lakeisha Keneti | Nurse Practitioner | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
Thamiris V Palacios-kibler | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
Alice V Wilkins-bryson | Nurse Practitioner | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
John R Sweeney Jr. | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
Brandee Leigh Winkler | Physician Assistant | Maryview Hospital | 2012 Meade Pkwy, Suffolk, VA 23434-4259 |
Gary Brinkley | Physician Assistant | Franklin Clinic Corp | 2000 Meade Pkwy, Suffolk, VA 23434-4259 |
Gary Sajko | Ophthalmology | Schneider Eye Physicians P C | 2016 Meade Pkwy, Suffolk, VA 23434-4259 |
Susan C Vick | Occupational Therapy | Tidewater Physical Therapy LLC | 2007 Meade Pkwy, Suffolk, VA 23434-4259 |
Find all physicians in zip 23434 |
City | SUFFOLK |
Zip Code | 23434 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | SUFFOLK + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on John David Waegerle.
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.