Provider Demographics
NPI:1871118125
Name:S WHEAT ANESTHESIA SERVICES
Entity type:Organization
Organization Name:S WHEAT ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:G
Authorized Official - Last Name:WHEAT
Authorized Official - Suffix:SR
Authorized Official - Credentials:CRNA
Authorized Official - Phone:985-259-0619
Mailing Address - Street 1:520 CLAYTON CT
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5710
Mailing Address - Country:US
Mailing Address - Phone:985-326-6480
Mailing Address - Fax:
Practice Address - Street 1:520 CLAYTON CT
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5710
Practice Address - Country:US
Practice Address - Phone:985-326-6480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty