Provider Demographics
NPI:1770535957
Name:WINGET, JAMES W (CRNA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:WINGET
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PT
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4545
Mailing Address - Country:US
Mailing Address - Phone:864-797-6307
Mailing Address - Fax:864-797-6198
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:2ND FLOOR ANESTHESIA DEPT.
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5611
Practice Address - Country:US
Practice Address - Phone:864-455-7111
Practice Address - Fax:864-455-6441
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPRN628367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAN0217Medicaid
RI576007863OtherBCBS
SC20031911OtherSELECT HEALTH GROUP
SC576007863OtherUHC ID
SC576007863OtherBLUE CHOICE
SC576007863OtherAETNA
SC20010714OtherINDIVIDUAL SELECT HEALTH
SC430027457OtherMEDICARE RAILROAD ID
SC576007863OtherCIGNA
SC430027457OtherMEDICARE RAILROAD ID