DR. ALEX M WITCHER (NPI# 1457879330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457879330 |
| Entity Type | Individual |
| Full Name | DR. ALEX M WITCHER |
| Credential | DNP |
| Practice Address |
307 Pennsylvania Ave Carterville IL 62918 |
| Practice Telephone | (256) 339-2637 |
| Mailing Telephone | 2563392637 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041.453211 | IL | Nursing Service Providers |
| Y | 207L00000X | Anesthesiology | 114630 | IL | Allopathic & Osteopathic Physicians |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 134188 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NBCRNA | 114630 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 731045036 | 4052714351 | 4052718695 |
| Street Address |
307 PENNSYLVANIA AVE |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| 1225584188 | Dominique M Williams | Counselor | 1006 S Division St, Carterville, IL 62918 | 2016-08-31 |
| Find all providers in zip 62918 | ||||
| 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 |
|---|---|---|---|---|
| 1316562481 | Douglas Dobson | Anesthesiology | 25w225 Plank Rd, Naperville, IL 60563-1607 | 2020-06-14 |
| 1558983981 | Ankit Arora | Anesthesiology | 836 W Wellington Ave Ste 4874, Chicago, IL 60657-5147 | 2020-05-07 |
| 1922628122 | Frank Joseph Bailey | Anesthesiology | 5841 S Maryland Ave # Mc4208, Chicago, IL 60637-1443 | 2020-04-17 |
| 1316580541 | Specialty Pain Anesthesia Rehabilitation Consultants | Anesthesiology | 1750 N Randall Rd Ste 160, Elgin, IL 60123-7902 | 2019-10-21 |
| 1770140212 | Sara Boldt | Anesthesiology | Rush University Medical Center, Dept. of Anesthesiology, 1653 W. Congress Parkway, Suite 739, Chicago, IL 60612 | 2019-05-21 |
| 1699339770 | Adam Gawel Lysiak | Anesthesiology | 2160 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1265917892 | Advanced Interventional Pain Solutions Ltd | Anesthesiology | 921 Sherwood Dr, Lake Bluff, IL 60044-2203 | 2018-09-29 |
| 1659850220 | Karas PC | Anesthesiology | 600 W 22nd St Ste 102, Oak Brook, IL 60523-8862 | 2018-08-14 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
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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.