EVANSTON HOSPITAL CORPORATION (NPI# 1013288836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013288836 |
| Entity Type | Organization |
| Organization Name | EVANSTON HOSPITAL CORPORATION |
| Practice Address |
190 Arrowhead Dr Evanston WY 82930-9266 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 3077893636 |
| Practice Fax Number | 3077838327 |
| Mailing Telephone | 8883041116 |
| Mailing Fax Number | 6154652984 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255304051 | Evanston Hospital Corporation | Clinic/Center | 112 Yellow Creek Rd, Evanston, WY 82930-9266 | 2006-02-10 |
| 1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
| 1427595271 | Evanston Hospital Corporation | Clinic/Center | 531 Parkway Drive, Mountain View, WY 82939-0208 | 2017-01-31 |
| 1134666944 | Evanston Hospital Corporation | Clinic/Center | 107 N Main Street, Lyman, WY 82937-0001 | 2017-01-31 |
| 1366989014 | Evanston Hospital Corporation | Family Medicine | 107 N Main St., Lyman, WY 82937-0001 | 2017-01-19 |
| 1801832548 | Evanston Hospital Corporation | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-06-21 |
| 1356313506 | Evanston Hospital Corporation | Medicare Defined Swing Bed Unit | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-02 |
| Street Address |
190 ARROWHEAD DR |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-9266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
| 1891308300 | Valley View Emergency Physicians LLC | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2020-08-25 |
| 1073167359 | Evanston Regional Physicians LLC | Family Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2019-07-25 |
| 1972981132 | University of Utah Adult Services | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2015-05-08 |
| 1871971184 | Daryl Mclaren | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930 | 2015-05-07 |
| 1013394642 | University of Utah Adult Services | Internal Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2015-05-04 |
| 1619383148 | Uinta Emergency Physicians, LLC | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2014-07-04 |
| 1891091898 | Tyler Lee Hunt | Nurse Anesthetist, Certified Registered | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2011-02-08 |
| 1902126824 | Ian James Kendrick | Surgery | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2010-06-02 |
| 1730341298 | Steven Edward Muller | Pharmacist | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912298530 | Justin R Fenus | Nurse Anesthetist, Certified Registered | 190 Seminole Dr, Evanston, WY 82930-6600 | 2011-04-30 |
| 1740599752 | Northside Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 9315 Ridgeway Ave, Evanston, IL 60203-1308 | 2010-09-26 |
| 1609938703 | Ridge Anesthesia Sc | Nurse Anesthetist, Certified Registered | 355 Ridge Ave., Evanston, IL 60202 | 2006-12-14 |
| 1083785281 | Richard Carver | Nurse Anesthetist, Certified Registered | 195 Overthrust Rd., Evanston, WY 82930-9266 | 2006-11-11 |
| 1609477744 | Nicole Jeanine Strode | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-11-04 |
| 1609475243 | Fredrich Francis Raz | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-24 |
| 1548869209 | Ross Phillips | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-22 |
| 1386242956 | Jessica Elaine Rogers | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-15 |
| 1710584297 | Natalia W Izquierdo | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-07 |
| 1790317766 | Danielle Oconnor | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.