MR. ROBERT JUDGE (NPI# 1164442489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164442489 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JUDGE |
| Credential | CRNA |
| Practice Address |
411 W Tipton St Seymour IN 47274-2363 |
| Mailing Address |
1804 N Fairview Dr Seymour IN 47274-9295 |
| Practice Telephone | 8125222349 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28069006A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952405581 | Robert Eugene Judge | Family Medicine | 1521 W Main St, Suite 1, Berne, IN 46711 | 2006-09-12 |
| Street Address |
411 W TIPTON ST |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465540 | Jeffrey A Giese | Emergency Medicine | 411 W Tipton St, Seymour, IN 47274-2363 | 2005-05-24 |
| 1184222465 | Lucas Acton | Registered Nurse | 411 W Tipton St, Seymour, IN 47274-2363 | 2020-10-09 |
| 1669006466 | Jacob Dean Wiegand | Student in an Organized Health Care Education/Training Program | 411 W Tipton St, Seymour, IN 47274-2363 | 2020-03-02 |
| 1558995977 | Melissa A Thompson | Physical Therapist | 411 W Tipton St, Seymour, IN 47274-2363 | 2020-02-25 |
| 1831722016 | Jenna Scarlett | Physical Therapist | 411 W Tipton St, Seymour, IN 47274-2363 | 2020-02-17 |
| 1205499043 | Jamah Stahl | Physician Assistant | 411 W Tipton St, Seymour, IN 47274-2363 | 2019-04-17 |
| 1104300714 | Tammi Covert | Occupational Therapist | 411 W Tipton St, Seymour, IN 47274-2363 | 2018-09-19 |
| 1639651607 | Lisa Kujawski | Speech-Language Pathologist | 411 W Tipton St, Seymour, IN 47274-2363 | 2018-09-05 |
| 1184106650 | Lance Tape | Physical Therapist | 411 W Tipton St, Seymour, IN 47274-2363 | 2018-08-31 |
| 1225510712 | Hannah Walton | Physical Therapy Assistant | 411 W Tipton St, Seymour, IN 47274-2363 | 2018-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
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| 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 |
|---|---|---|---|---|
| 1679799803 | Walter Edward Geldrich | Nurse Anesthetist, Certified Registered | 1545 Fawn Dr, Seymour, TN 37865 | 2007-04-17 |
| 1962773143 | Kimberly D Nix | Nurse Anesthetist, Certified Registered | 200 Stadium Dr, Seymour, TX 76380-2344 | 2012-01-20 |
| 1780854802 | David Lynn Proffer | Nurse Anesthetist, Certified Registered | 411 W Tipton St, Seymour, IN 47274-2363 | 2008-03-04 |
| 1326068438 | Jeanne Madden | Nurse Anesthetist, Certified Registered | 411 W Tipton St, Seymour, IN 47274-2363 | 2006-07-20 |
| 1184600868 | Karen S Stumpf | Nurse Anesthetist, Certified Registered | 411 W Tipton St, Seymour, IN 47274-2363 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067579 | Apollo Medical Group of Lake George LLC | Nurse Anesthetist, Certified Registered | 6245 N Old 27, Fremont, IN 46737-8711 | 2020-09-15 |
| 1053938324 | Sara Rosemarie Saylor | Nurse Anesthetist, Certified Registered | 4455 Edison Lakes Pkwy # 100, Mishawaka, IN 46545-1414 | 2020-07-02 |
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1912540931 | Evin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1101 Professional Blvd Ste 104, Evansville, IN 47714-8018 | 2019-10-22 |
| 1427619840 | Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | 3212 Hickory Rd Ste A, Mishawaka, IN 46545-8863 | 2019-06-26 |
| 1013475375 | Vigilance Anesthesiologists & Pain Specialists PC | Nurse Anesthetist, Certified Registered | 5363 Commerce Blvd, Crown Point, IN 46307-5325 | 2019-03-06 |
| 1023572781 | Allied Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 53990 Carmichael Dr Ste 100, South Bend, IN 46635-1585 | 2019-01-28 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1275018236 | Indiana Ams LLC | Nurse Anesthetist, Certified Registered | 9200 Calumet Ave Ste 200, Munster, IN 46321-2885 | 2018-09-26 |
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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.