Jonathan Michael Wildy, CRNA
Jonathan Michael Wildy, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Prairie Village, Kansas. Qualified in 2009, 17 years ago. Practices with Pine Ridge Indian Health Service Hospital, a 104-clinician group and accepts Medicare assignment. Licensed in California, Kansas and Virginia.
- Years since qualifying
- 17
- Licensed in
- CA, KS, VA
- In the registry since
- 2008
- Specialties on file
- 5
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
5101 W 73rd StPrairie Village, KS 66208-2434
Phone: (619) 600-1023
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 3906 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 1390081012 (KS) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (CA) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 0024168911 (VA) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 556930 (KS) |
Record details
| NPI number | 1619137288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | June 16, 2008 |
| Last updated in NPPES | October 18, 2011 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Pine Ridge Indian Health Service Hospital — 104 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Prairie Village
-
Miss. Mary Agnes Freeman, RN
3005 W 74th St, Prairie Village, KS 66208-3228 · (913) 262-0358
-
Julie Kittinger, RN
7815 Juniper Dr, Prairie Village, KS 66208-4430 · (913) 827-2396
-
Kelsey Nepote
1907 W 72nd Ter, Prairie Village, KS 66208-3340 · (913) 999-4007
-
Kyle Charles Steinagel
7816 Booth Dr, Prairie Village, KS 66208-3849 · (785) 217-5611