GUARDIAN INTERVENTIONAL PAIN MANAGEMENT INSTITUTE LLC (NPI# 1053840124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053840124 |
| Entity Type | Organization |
| Organization Name | GUARDIAN INTERVENTIONAL PAIN MANAGEMENT INSTITUTE LLC |
| Practice Address |
2203 Eastland Dr Ste 7 Bloomington IL 61704-7924 |
| Mailing Address |
Po Box 570 Lake Forest IL 60045-0570 |
| Practice Telephone | 3098081700 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Authorized Official Name | MOHAMED EL-ANSARY (OWNER) |
| Authorized Official Telephone | 2172749720 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2203 EASTLAND DR STE 7 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861508145 | Mohamed El-ansary | Anesthesiology | 2203 Eastland Dr Ste 7, Bloomington, IL 61704-7924 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1831132950 | Gary Lee Gettelfinger | Anesthesiology | 888 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2006-06-14 |
| 1215924410 | Ramsin Benyamin | Anesthesiology | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2005-10-03 |
| 1194091108 | Edgar Martinez | Anesthesiology | 888 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2012-03-24 |
| 1912202409 | Guardian Headache & Pain Management Institute LLC | Anesthesiology | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7918 | 2011-01-14 |
| 1063448215 | Mclean County Anesthesiology, Ltd. | Anesthesiology | 1505 Eastland Dr, Suite Ll 1400, Bloomington, IL 61701-3534 | 2006-06-22 |
| 1538145396 | Robert A Kolodziejczyk | Anesthesiology | 1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 | 2005-12-22 |
| 1356327118 | Debbie Booton Bailey | Anesthesiology | 1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 | 2005-12-22 |
| 1558347310 | Ji Li | Anesthesiology | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2005-12-22 |
| 1376529131 | John Han | Anesthesiology | 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701-3534 | 2005-12-22 |
| 1720064736 | Tian Bin Feng | Anesthesiology | 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701-3534 | 2005-12-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on GUARDIAN INTERVENTIONAL PAIN MANAGEMENT INSTITUTE LLC.
| 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.