MATTIE MCALLISTER (NPI# 1346453461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346453461 |
| Entity Type | Individual |
| Full Name | MATTIE MCALLISTER |
| Credential | CRNA |
| Practice Address |
28 N 64th St Belleville IL 62223-3808 |
| Mailing Address |
Po Box 822344 Philadelphia PA 19182-2344 |
| Practice Telephone | 3149910985 |
| Practice Fax Number | 9086539305 |
| Mailing Telephone | 3149910985 |
| Mailing Fax Number | 9086539305 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 046846 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICAL LICENSE | 046846 | 01 |
| Street Address |
28 N 64TH ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275599086 | Belleville Surgical Center Ltd | Clinic/Center | 28 N 64th St, Belleville, IL 62223-3808 | 2006-04-21 |
| 1457564239 | Harold Steiner Jr. | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-08 |
| 1629281415 | Marjory Barr | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-08 |
| 1184837056 | Melody Visser | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-08 |
| 1811100795 | Susan Bullington | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-08 |
| 1891908927 | Evelyn Maylath | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-07 |
| 1891908091 | Michael Gremmelsbacher | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-07 |
| 1245443381 | Germaine Rheaume | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-07 |
| 1871706051 | David Busso | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-07 |
| 1811100084 | James Brauer | Nurse Anesthetist, Certified Registered | 28 N 64th St, Belleville, IL 62223-3808 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 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 |
| Find all providers in zip 62223 | ||||
| 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 |
|---|---|---|---|---|
| 1598215451 | Rebecca Tulik | Nurse Anesthetist, Certified Registered | 49187 Peninsular Dr, Belleville, MI 48111-4977 | 2016-10-04 |
| 1417220252 | Elizabeth Lee Nicholson | Nurse Anesthetist, Certified Registered | 3636 N Belt W, Belleville, IL 62226-5947 | 2012-02-09 |
| 1568635605 | Julianna M Peters | Nurse Anesthetist, Certified Registered | 2608 Fairway Dr, Belleville, IL 62220-4864 | 2008-04-09 |
| 1932141561 | Anesthesia Associates of Belleville | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Anesthesia Dept, Belleville, IL 62223 | 2006-06-11 |
| 1235115759 | Loy Neal Patterson Jr. | Nurse Anesthetist, Certified Registered | 311 West Lincoln, Suite 300, Belleville, IL 62220-1921 | 2005-12-16 |
| 1679561690 | Marcia Ann Becker | Nurse Anesthetist, Certified Registered | 311 W. Lincoln, Suite 300, Robert Hellman Md, LLC, Belleville, IL 62220-1902 | 2005-10-13 |
| 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 |
| 1629639695 | Nicholas Raburn | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2019-06-21 |
| 1598255937 | Carrie L Hasenstab | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2018-05-10 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
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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.