JOHN BOUDEMAN (NPI# 1609819820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609819820 |
| Entity Type | Individual |
| Full Name | JOHN BOUDEMAN |
| Credential | M.D. |
| Practice Address |
0n025 Winfield Road Winfield IL 60190 |
| Mailing Address |
8386 Solutions Ctr Chicago IL 60677-8003 |
| Practice Telephone | 6309331600 |
| Mailing Telephone | 6308682200 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036095528 | IL | Other Service Providers |
| Y | 207L00000X | Anesthesiology | 036095528 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
0N025 WINFIELD ROAD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| 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 |
|---|---|---|---|---|
| 1477656486 | Edward B Yang | Anesthesiology | 25 Winfield Rd., Winfield, IL 60190 | 2006-09-06 |
| 1700804176 | James Robert Huston | Anesthesiology | On025 Winfield Rd., Winfield, IL 60190 | 2006-07-17 |
| 1750322640 | Howard Albert | Anesthesiology | 0n025 Winfield Rd, Winfield, IL 60190-1237 | 2006-06-09 |
| 1649272634 | Katalin Z. Russay | Anesthesiology | 25 North Winfield Road, Winfield, IL 60190 | 2005-08-10 |
| 1366831380 | Nwmc Winfield Physicians LLC | Anesthesiology | 125 Henry Lane, Winfield, AL 35594 | 2015-01-14 |
| 1316218209 | Andalusia Professional Services LLC | Anesthesiology | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2012-01-24 |
| 1215166723 | Alfredo Ceballos Jr. | Anesthesiology | 25 N. Winfield Rd., Dept of Anesthesia, Winfield, IL 60190 | 2009-07-06 |
| 1871729434 | Robert Leo Hruby | Anesthesiology | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2009-06-09 |
| 1073774337 | David Thomas Corbett | Anesthesiology | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2008-06-19 |
| 1932399664 | Ajay K. Gopalka | Anesthesiology | On025 Winfield Rd., Winfield, IL 60190 | 2007-07-30 |
| Find all providers in WINFIELD | ||||
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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.