Dwight A Wymore (NPI# 1043238835, PAC ID# 4688636350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1043238835 |
| PAC ID by PECOS | 4688636350 |
| Professional Enrollment ID | I20041103001256 |
| Full Name | Dwight A Wymore |
| Organization Legal Name | SOUTH BAY ANESTHESIA MEDICAL GROUP INC. |
| Address |
4101 Torrance Blvd Torrance CA 90503-4607 |
| Phone Number | 3105407676 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 6406899707 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 4101 Torrance Blvd, Torrance, CA 90503-4607 | 3105407676 | SOUTH BAY ANESTHESIA MEDICAL GROUP INC. |
| Organization Legal Name | SOUTH BAY ANESTHESIA MEDICAL GROUP INC. |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanghun Kim | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Sharline Kashfian-halimi | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Susan Trinh | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Xiaoyan Zhang | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Daniel E Wapner | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Lawrence V Presley | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| James Jong Min Han | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Steve R Ciancio | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 3720 Lomita Blvd, Suite 102, Torrance, CA 90505-3884 |
| Stanley Koh | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Joseph Vincent Schneider | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Street Address |
4101 TORRANCE BLVD |
| City | TORRANCE |
| State | CA |
| Zip | 90503-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jin-hwa Simon | Hospitalist | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Farhan Husain | Internal Medicine | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Allison E Arch | Neurology | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Sanghun Kim | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Sharline Kashfian-halimi | Anesthesiology | South Bay Anesthesia Medical Group Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Deepti H Chandran | Internal Medicine | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Cindy B Kim | Internal Medicine | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Glenn A Huettner | Diagnostic Radiology | Advanced Imaging of South Bay, Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Eric Q Trieu | Hospice/palliative Care | Prohealth Partners, A Medical Group | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Jay Z Yao | Neurology | Providence Medical Institute | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared G Baker | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Jorge T Vournas | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Leonardo N Rodriguez | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Stefanie W Uechi | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Mona Marcella Colianno | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| John G Wallace Jr. | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Amber L Leonard | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Eugene B Baldridge | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Brianne A Shoji | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Evelyn G Lee | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Find all physicians in zip 90503 | |||
| City | TORRANCE |
| Zip Code | 90503 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | TORRANCE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Dwight A Wymore.
| 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.