Mr. Randy Ray Wientjes is a Metropolis, Illinois based nurse anesthetist with 39 years of experience as Anesthesia Administration. He completed he graduation in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Randy Ray Wientjes is 209-004142 for Anesthesia Administration in Illinois. his current practice location is 3042 Lakeview Dr, Metropolis. Patients can reach him at 618-524-9217 or can fax him at 618-524-2158. Mr. Randy Ray Wientjes is C.R.N.A. with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1154352045. Mr. Randy Ray Wientjes is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Randy Ray Wientjes speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2365340767
Enrollment ID:
I20061031000168
NPI Number:
1154352045
NPI Enumeration Date:
06 Jul, 2006
NPI Last Update On:
09 Sep, 2015
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Randy Ray Wientjes are as mentioned below.
License Number
Specialization
State
Status
209-004142
Anesthesia Administration
Illinois
Primary
CR000381
Anesthesia Administration
South Dakota
Secondary
3001002
Anesthesia Administration
Kentucky
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Ferrell Hospital Community Foundations (141324)
Eldorado, IL
Critical Access Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Randy Ray Wientjes has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Massac Memorial Hospital (3072422799)
10
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Randy Ray Wientjes such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
74007063
Medicaid
Kentucky
P01099568
Other
Kentucky
RAIL ROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3042 Lakeview Dr, Metropolis, Illinois
Zip:
62960-3119
Phone Number:
618-524-9217
Fax Number:
618-524-2158
Patients can reach Mr. Randy Ray Wientjes at 3042 Lakeview Dr, Metropolis, Illinois or can call to book an appointment on 618-524-9217.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.