KENNETH I BLUESTONE (NPI# 1326045568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326045568 |
| Entity Type | Individual |
| Full Name | KENNETH I BLUESTONE |
| Credential | M.D. |
| Practice Address |
4500 Memorial Dr Belleville IL 62226-5360 |
| Mailing Address |
Po Box 66971-cc St. Louis MO 63166-6971 |
| Practice Telephone | 6182574376 |
| Practice Fax Number | 6182575196 |
| Mailing Telephone | 3145484700 |
| Mailing Fax Number | 3145484747 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2015-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036138832 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | P00056031 | 01 |
| Street Address |
4500 MEMORIAL DR |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979690 | Protestant Memorial Medical Center, Inc. | Clinical Medical Laboratory | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-07-15 |
| 1841815784 | Kayla Marie Tisza | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-06-16 |
| 1588289581 | Katie O'rourke | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-06-15 |
| 1518592203 | Daniela Vetan-zlibut | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-03-03 |
| 1396377289 | Kathryn Cook | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-02-07 |
| 1124650353 | Jessica Stricklin | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5399 | 2020-02-05 |
| 1396375788 | Emily Jean Sloan | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-01-24 |
| 1629639695 | Nicholas Raburn | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2019-06-21 |
| 1124582523 | Jenna Dornak | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2019-01-30 |
| 1093279432 | Dana Bennett | Occupational Therapy Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| 1619009990 | Norma Recio-pasia | Anesthesiology | 28 North 64th Street, Belleville, IL 62223-3808 | 2007-03-12 |
| 1831105527 | Jocelyn Lao | Anesthesiology | One Clara Maass Dr, Belleville, NJ 07109 | 2006-08-01 |
| 1861408593 | Laureto S Bada Jr. | Anesthesiology | One Clara Maass Drive, Belleville, NJ 07109 | 2006-08-01 |
| 1790737799 | Hussein A Huraibi IIi | Anesthesiology | 11650 Belleville Rd, Ste 105, Belleville, MI 48111-3380 | 2006-05-17 |
| 1770006306 | Kings Anesthesia | Anesthesiology | 727 Joralemon St, Belleville, NJ 07109-1455 | 2017-07-25 |
| 1821466780 | Anesthesia Consultants of Michigan, Pllc | Anesthesiology | 11650 Belleville Rd, Suite 107, Belleville, MI 48111-3380 | 2015-09-09 |
| 1033549779 | Christine Na-eun Millar | Anesthesiology | 4500 Memorial Dr, Belleville, IL 62226 | 2013-11-15 |
| 1700218146 | Belleville Endoscopy Anesthesia | Anesthesiology | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2013-08-08 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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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.