JONATHAN L SORENSON


Address: 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408
Phone: 6182411108

JONATHAN L SORENSON (NPI# 1063516136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063516136
Entity Type Individual
Full Name JONATHAN L SORENSON
Credential CRNA
Practice Address 2 Good Samaritan Way
Suite 205
Mount Vernon
IL 62864-2408
Mailing Address 4227 Lincolnshire Dr
Mount Vernon
IL 62864-2157
Practice Telephone 6182411108
Practice Fax Number 6182413805
Enumeration Date 2006-09-11
Last Update Date 2014-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 209000414 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2 GOOD SAMARITAN WAY
SUITE 205
City MOUNT VERNON
State IL
Zip Code 62864-2408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093718900 Ssm Health Businesses Hospice Care, Community Based 2 Good Samaritan Way, Suite 325, Mount Vernon, IL 62864-2408 2005-05-24
1417573734 Scherrie Lynn Medina Registered Nurse 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 2020-06-23
1245711779 Mary K Mcgarvey Occupational Therapy Assistant 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 2018-08-23
1831611334 Patricia Isabel Calcetto Nurse Anesthetist, Certified Registered 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 2017-07-17
1821548207 Nicole Vetter Nurse Practitioner 2 Good Samaritan Way, Medical Plaza Suite 420, Mount Vernon, IL 62864-2408 2016-10-10
1740654821 Kathryn Flanigan Speech-Language Pathologist 2 Good Samaritan Way, 3rd Floor, Mount Vernon, IL 62864-2408 2015-11-30
1275900656 Christopher Bourget Registered Nurse 2 Good Samaritan Way, Medical Plaza Suite 205, Mount Vernon, IL 62864-2408 2015-09-01
1992188338 Carl Robert Davis Nurse Anesthetist, Certified Registered 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 2015-07-02
1871919845 Michell R Ellis Pharmacist 2 Good Samaritan Way, Suite 120, Mount Vernon, IL 62864-2408 2014-03-13
1548685647 Rebecca Breanne Ritchey Speech-Language Pathologist 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 2014-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043757487 Anesthesia Associates of Southern Illinois Surgery Center LLC Nurse Anesthetist, Certified Registered 2 Good Samaritan Way Ste 200, Mount Vernon, IL 62864-2476 2017-01-24
1952321879 Kent Alan Fair Nurse Anesthetist, Certified Registered 1011 Wilshire Dr, Mount Vernon, IL 62864-2743 2006-07-21
1417984105 Julie A Aulds Nurse Anesthetist, Certified Registered 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 2006-06-27
1689636540 David L Stittsworth Nurse Anesthetist, Certified Registered 17713 E Shadow Lake Rd, Mount Vernon, IL 62864-8136 2006-04-05
1386623494 Alison E Sanker Nurse Anesthetist, Certified Registered 2900 Broadway St, Suite B, Mount Vernon, IL 62864-2341 2006-01-17
1326037052 Daniel Mark Greenwald Nurse Anesthetist, Certified Registered 111 S 13th St, Mount Vernon, WA 98274-4105 2005-10-15
1437719093 Vincent Coty Compton Nurse Anesthetist, Certified Registered 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2019-06-17
1598320558 Joshua David Delozier Nurse Anesthetist, Certified Registered 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 2019-05-06
1184191363 Jeanette Ilene Ellis Nurse Anesthetist, Certified Registered 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 2018-10-25
1831611334 Patricia Isabel Calcetto Nurse Anesthetist, Certified Registered 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 2017-07-17
Find all providers in MOUNT VERNON

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City MOUNT VERNON
Zip Code 62864

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Dataset Information

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.

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