GALESBURG HOSPITAL CORPORATION (NPI# 1073722948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073722948 |
| Entity Type | Organization |
| Organization Name | GALESBURG HOSPITAL CORPORATION |
| Other Organization Name | GALESBURG NURSE ANESTHETISTS ASSOCIATES |
| Practice Address |
695 N Kellogg St Galesburg IL 61401-2807 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 5055465800 |
| Practice Fax Number | 5055436907 |
| Mailing Telephone | 6154657626 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-09-28 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | GALESBURG HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Galesburg Nurse Anesthetists Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306083209 | Galesburg Hospital Corporation | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2009-01-14 |
| 1700805660 | Galesburg Hospital Corporation | Psychiatric Unit | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-07-19 |
| 1447221312 | Galesburg Hospital Corporation | General Acute Care Hospital | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-01-30 |
| 1659342434 | Galesburg Hospital Corporation | Skilled Nursing Facility | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-01-30 |
| Street Address |
695 N KELLOGG ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875145 | Jeffrey Hill | Family Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2005-07-18 |
| 1992337000 | Sanburg Emergency Group, P.C. | Physician Assistant | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2020-02-06 |
| 1740794536 | Nes Michigan Inc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2017-12-01 |
| 1770037251 | Cynthia Dawn Raya | Nurse Practitioner | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-08-12 |
| 1316399967 | Clinical Colleagues Inc | Anesthesiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-07-07 |
| 1801242474 | Hospital Care Consultants of Galesburg, Inc | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-05-12 |
| 1003285032 | Patricia Ann Rice | Nurse Practitioner | 695 N Kellogg St, Emergency Department, Galesburg, IL 61401-2807 | 2015-09-21 |
| 1225414667 | Ryan James Bonham | Nurse Anesthetist, Certified Registered | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2015-08-08 |
| 1295000677 | Syed Moazzam Najeeb | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2012-03-18 |
| 1154623429 | Comprehensive Emergency Solutions II Sc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2010-11-18 |
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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 | 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 |
|---|---|---|---|---|
| 1548714041 | Jessica Dejaynes | Nurse Anesthetist, Certified Registered | 2642 Lincoln Park Dr, Galesburg, IL 61401-1120 | 2016-08-12 |
| 1578773297 | Carole G Meyers | Nurse Anesthetist, Certified Registered | 1512 147th Ave Se, Galesburg, ND 58035-9415 | 2007-05-23 |
| 1790399343 | Edward William Mitzelfelt | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2020-09-01 |
| 1043769987 | Nicholas Becker | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2016-10-03 |
| 1225414667 | Ryan James Bonham | Nurse Anesthetist, Certified Registered | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2015-08-08 |
| 1942561618 | Genev J Calek | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2012-05-30 |
| 1972736551 | Jacob J Briscoe | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2009-08-28 |
| 1003081662 | Patricia M Wilson | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2008-04-24 |
| 1982898417 | Steven R Hilligoss | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2007-08-28 |
| 1093882227 | Jill D Whiteside | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2006-11-30 |
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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.