| Mr Larry C Wheeker, RN, CRNA | |
|
1900 Woodland Dr, Coos Bay, OR 97420-0000 | |
| (541) 267-5151 | |
| (541) 266-4501 |
| Full Name | Mr Larry C Wheeker |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295711430 | NPI | - | NPPES |
| 268921 | Medicaid | OR | |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| 079044214RN | Other | OR | RN LICENSE # |
| 1407812365 | Other | OR | NBMC GROUP NPI NUMBER |
| 430069427 | Other | OR | RR MEDICARE PTAN NUMBER |
| CD8723 | Other | OR | RR MEDICARE GROUP NUMBER |
| 031589 | Other | OR | CRNA RECERTIFICATION # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200160039CRNA (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry C Wheeker, RN, CRNA 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 | Mr Larry C Wheeker, RN, CRNA 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 |
Charles E Couture, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8020 | |
Mrs. Gayle S Larson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 | |
Matthew S Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Jay Alan Bryngelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Mark B Titcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8020 | |
Kelsi Ann Ferguson-cannon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 154-126-9811 |