DPC CRNA GROUP, LTD. (NPI# 1336606102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336606102 |
| Entity Type | Organization |
| Organization Name | DPC CRNA GROUP, LTD. |
| Practice Address |
707 N Logan Ave Danville IL 61832-4360 |
| Practice Telephone | 2174774794 |
| Mailing Telephone | 2174774794 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | LEAH WARREN (BUSINESS MANAGER) |
| Authorized Official Telephone | 2174774794 |
| Is Organization Subpart | Y |
| Parent Organization Name | DANVILLE POLYCLINIC, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
707 N LOGAN AVE |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019508 | William J. Bowen | Surgery | 707 N Logan Ave, Danville, IL 61832-4360 | 2005-11-14 |
| 1114531936 | Alexander Kentner | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2020-08-31 |
| 1821637190 | Colena Marie Rathburn | Physician Assistant | 707 N Logan Ave, Danville, IL 61832-4360 | 2020-01-03 |
| 1922560481 | Alyssa S Harrison | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2019-04-03 |
| 1083183677 | Sandra E Snyder | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2018-11-13 |
| 1891290839 | Robert Justin Duprey | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2018-03-29 |
| 1356750830 | Uche Frances Allanah | Internal Medicine | 707 N Logan Ave, Danville, IL 61832-4360 | 2014-08-08 |
| 1144646183 | Rachel S Janesky | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2014-03-14 |
| 1427353598 | Cheryl A Sullivan | Nurse Practitioner | 707 N Logan Ave, Danville Polyclinic, Ltd., Danville, IL 61832-4360 | 2011-01-20 |
| 1124333539 | Ali Hassan Ali Warda | Internal Medicine | 707 N Logan Ave, Danville Polyclinic, Ltd., Danville, IL 61832-4360 | 2010-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| 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 |
|---|---|---|---|---|
| 1144737982 | Carl Edmond Wisecaver | Nurse Anesthetist, Certified Registered | 230 W Main St Ste 200, Danville, KY 40422-1873 | 2018-01-02 |
| 1043675929 | Stacey Vernon | Nurse Anesthetist, Certified Registered | 100 N Aademy Ave, Danville, PA 17822-2025 | 2015-12-21 |
| 1669742029 | Wilderness Trace Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 210 S. 2nd St., Danville, KY 40422-1804 | 2012-01-03 |
| 1902980519 | Donald Herbert Chamberlain | Nurse Anesthetist, Certified Registered | 142 South Main St., Danville, VA 24541 | 2006-10-24 |
| 1003828484 | James David Beal | Nurse Anesthetist, Certified Registered | 1000 E Main St., Danville, IN 46122-1948 | 2006-08-13 |
| 1821096892 | Brent L Dubois Jr. | Nurse Anesthetist, Certified Registered | 1177 Moore Rd, Danville, GA 31017-6245 | 2005-07-13 |
| 1649884933 | Heather M Krohn | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-09-03 |
| 1023628484 | Matthew Payne | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-07-31 |
| 1801413083 | Melissa Trees | Nurse Anesthetist, Certified Registered | 1000 E Main St, Danville, IN 46122-1948 | 2020-07-03 |
| 1083239701 | Matthew Scott Gulliver | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-06-09 |
| Find all providers in DANVILLE | ||||
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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.