PREMIER ANESTHESIOLOGY LLC (NPI# 1023009826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023009826 |
| Entity Type | Organization |
| Organization Name | PREMIER ANESTHESIOLOGY LLC |
| Practice Address |
3333 N Seminary St Galesburg IL 61401-1251 |
| Practice Telephone | 3093443161 |
| Practice Fax Number | 3093449478 |
| Mailing Telephone | 3093443161 |
| Mailing Fax Number | 3093449478 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHILIP S DOH (PHYSICIAN) |
| Authorized Official Telephone | 3093443161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451208 | Premier Anesthesiology LLC | Clinic/Center | 2000 E Southern Ave, Tempe, AZ 85282-7510 | 2020-09-09 |
| 1558703041 | Premier Anesthesiology LLC | Clinic/Center | 1343 N Alma School Rd, Suite 160, Chandler, AZ 85224-5941 | 2013-07-24 |
| Street Address |
3333 N SEMINARY ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399343 | Edward William Mitzelfelt | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2020-09-01 |
| 1558981951 | Brett Andrew Eandi | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2020-04-26 |
| 1508429630 | Jessica L Thorman | Nurse Practitioner | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-15 |
| 1871055848 | Kaylee Diane Smith | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-01 |
| 1306308374 | Sarah Nelson | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-01 |
| 1962960393 | Jessica Mcallister | Nurse Practitioner | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-03-05 |
| 1457823437 | Hannah Mikkalson | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-01-01 |
| 1326528928 | Rachel Neece | Physical Therapist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2018-08-14 |
| 1235658436 | Nichole Renae Gomez | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2017-09-19 |
| 1508302530 | Lauren Siemers | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2017-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316399967 | Clinical Colleagues Inc | Anesthesiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-07-07 |
| 1922439785 | St Mary Medical Center | Anesthesiology | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2013-12-04 |
| 1821118902 | Galesburg Anesthesia Associates, LLC | Anesthesiology | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2007-03-30 |
| 1609899822 | Sean Kelly Kane | Anesthesiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-07-26 |
| 1477504009 | Galesburg Anesthesiology, S.c. | Anesthesiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562481 | Douglas Dobson | Anesthesiology | 25w225 Plank Rd, Naperville, IL 60563-1607 | 2020-06-14 |
| 1558983981 | Ankit Arora | Anesthesiology | 836 W Wellington Ave Ste 4874, Chicago, IL 60657-5147 | 2020-05-07 |
| 1922628122 | Frank Joseph Bailey | Anesthesiology | 5841 S Maryland Ave # Mc4208, Chicago, IL 60637-1443 | 2020-04-17 |
| 1316580541 | Specialty Pain Anesthesia Rehabilitation Consultants | Anesthesiology | 1750 N Randall Rd Ste 160, Elgin, IL 60123-7902 | 2019-10-21 |
| 1770140212 | Sara Boldt | Anesthesiology | Rush University Medical Center, Dept. of Anesthesiology, 1653 W. Congress Parkway, Suite 739, Chicago, IL 60612 | 2019-05-21 |
| 1699339770 | Adam Gawel Lysiak | Anesthesiology | 2160 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1265917892 | Advanced Interventional Pain Solutions Ltd | Anesthesiology | 921 Sherwood Dr, Lake Bluff, IL 60044-2203 | 2018-09-29 |
| 1659850220 | Karas PC | Anesthesiology | 600 W 22nd St Ste 102, Oak Brook, IL 60523-8862 | 2018-08-14 |
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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.