CLINICAL COLLEAGUES INC (NPI# 1316399967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316399967 |
| Entity Type | Organization |
| Organization Name | CLINICAL COLLEAGUES INC |
| Practice Address |
695 N Kellogg St Galesburg IL 61401-2807 |
| Mailing Address |
Po Box 824246 Philadelphia PA 19182-4246 |
| Practice Telephone | 9545700337 |
| Practice Fax Number | 9545700317 |
| Mailing Telephone | 9545700337 |
| Mailing Fax Number | 9545700317 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Authorized Official Name | PAUL GERDES (MANAGING PARTNER) |
| Authorized Official Telephone | 9545700337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801137013 | Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | 3100 Oak Grove, Poplar Bluff, MN 63902 | 2013-03-13 |
| 1366958274 | Clinical Colleagues Inc | Anesthesiology | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2017-12-15 |
| 1134643604 | Clinical Colleagues Inc | Anesthesiology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2017-07-27 |
| 1083142830 | Clinical Colleagues Inc | Anesthesiology | 117 E 19th St, Roswell, NM 88201-5151 | 2017-05-24 |
| 1003266404 | Clinical Colleagues Inc | Anesthesiology | 1900 N 14th St, Ponca City, OK 74601-2035 | 2016-06-16 |
| 1033568605 | Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | 1121 Bethlehem Pike, Sutie 60-234, Spring House, PA 19477-1102 | 2016-06-06 |
| 1992725766 | Clinical Colleagues Inc | Hospitalist | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2006-07-21 |
| 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 |
| 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 |
| 1952542193 | Galesburg Professional Services LLC | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2009-03-18 |
| Find all providers in the same location | ||||
| 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 |
| 1073722948 | Galesburg Hospital Corporation | Nurse Anesthetist, Certified Registered | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2007-05-21 |
| Find all providers in GALESBURG | ||||
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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.