THOMAS GRAY (NPI# 1619069507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619069507 |
| Entity Type | Individual |
| Full Name | THOMAS GRAY |
| Credential | C.R.N.A. |
| Practice Address |
1000 Health Center Drive Anesthesiology Department Mattoon IL 61938 |
| Practice Telephone | 2172582440 |
| Mailing Telephone | 2172582440 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209-000882 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346453701 | Thomas W. Gray | Social Worker | 5028 Wisconsin Ave-nw, Suite 400, Washington, DC 20016 | 2007-05-08 |
| 1023190287 | Thomas Gray | Chiropractor | 683 Bay Ave, Toms River, NJ 08722 | 2006-10-19 |
| 1851905327 | Thomas Matthew Gray | Respiratory Therapist, Registered | 401 Bicentennial Way Ste 190, Santa Rosa, CA 95403-2149 | 2020-09-02 |
| 1033742754 | Thomas Alan Gray | Pharmacist | 6315 Garth Rd, Baytown, TX 77521-9686 | 2020-02-20 |
| 1174898373 | Thomas Christopher Gray | Family Medicine | 4660 Ne Belknap Ct, Suite 119, Hillsboro, OR 97124-6467 | 2012-03-21 |
| 1316220791 | Thomas A Gray | Pharmacist | 75 Main St, Bucksport, ME 04416-4025 | 2011-09-22 |
| 1992925747 | Thomas Gray | Respiratory Therapist, Certified | 500 West Hospital Rd, French Camp, CA 95231 | 2007-04-26 |
| 1245316637 | Thomas L Gray | Obstetrics & Gynecology | 7705 Poplar Avenue, Suite 240, Professional Bldg. B, Germantown, TN 38138 | 2006-10-27 |
| 1255427928 | Thomas J Gray | Physical Therapist | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2006-10-04 |
| 1376654533 | Thomas Lawrence Gray | Emergency Medicine | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2006-08-31 |
| Street Address |
1000 HEALTH CENTER DRIVE ANESTHESIOLOGY DEPARTMENT |
| City | MATTOON |
| State | IL |
| Zip Code | 61938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326276486 | Sergio M. Rodriguez | Family Medicine | 1000 Health Center Drive, Mattoon, IL 61938-9253 | 2009-06-29 |
| 1225266422 | Mussarat J. Bukhari | Family Medicine | 1000 Health Center Drive, Mattoon, IL 61938-9253 | 2009-06-25 |
| 1467506261 | Robert G Ludwig II | Nurse Anesthetist, Certified Registered | 1000 Health Center Drive, Surgery/anesthesia Department, Mattoon, IL 61938-0372 | 2007-01-22 |
| 1881784262 | John David Schmale | Internal Medicine | 1000 Health Center Drive, Mattoon, IL 61938 | 2006-10-13 |
| 1811082886 | Seong R Cho | Internal Medicine | 1000 Health Center Drive, Radiation Dept., Mattoon, IL 61938-0372 | 2006-10-04 |
| 1376565788 | George R Grant | Emergency Medicine | 1000 Health Center Drive, Mattoon, IL 61938-0372 | 2006-07-24 |
| 1679590269 | Andrew Z. Zasada | Emergency Medicine | 1000 Health Center Drive, Mattoon, IL 61938 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| 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 |
|---|---|---|---|---|
| 1003426974 | Vincent P Cagungun | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1457961328 | Amber Leigh Craven | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1891359865 | Ijeoma F. Onyeyirim | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2019-04-25 |
| 1407316730 | Lyndi Myers | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2019-03-22 |
| 1194273540 | Charles Grant | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2016-09-14 |
| 1790039816 | Brandon Ryan Allen | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2012-10-29 |
| 1578855953 | Michael W. Armstrong | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2011-05-04 |
| 1063642395 | Tara L Crews | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2009-07-21 |
| 1770713000 | Amelia M Heise | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2009-07-21 |
| 1679715551 | Jason T Trotter | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2009-03-24 |
| Find all providers in MATTOON | ||||
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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.