CHARLES G BISHOP JR. (NPI# 1629053459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629053459 |
Entity Type | Individual |
Full Name | CHARLES G BISHOP JR. |
Credential | MD |
Practice Address |
12 Ginger Creek Parkway Glen Carbon IL 62034 |
Mailing Address |
1326 Rainfield Gardens Court O'fallon IL 62269 |
Practice Telephone | 6186568200 |
Mailing Telephone | 6185316818 |
Enumeration Date | 2005-12-14 |
Last Update Date | 2014-12-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207L00000X | Anesthesiology | 036106182 | IL | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036106182 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036106182 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417399296 | Charles Robert Bishop | Pharmacist | 402 Talcott St, Sedro Woolley, WA 98284-1646 | 2013-07-22 |
1659560373 | Charles Daniel Bishop | Dentist | 8201 Preston Rd Ste 375, Dallas, TX 75225-6221 | 2007-10-18 |
1316014780 | Charles Wayne Bishop | Dentist | 7211 Nw 83rd St, Suite 120, Kansas City, MO 64152-6021 | 2006-11-29 |
1356835193 | Charles Matthew Bishop | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2018-06-15 |
1932578192 | Charles Bishop | Acupuncturist | 1910 W Highway 61, Grand Marais, MN 55604-7508 | 2015-09-17 |
1023428653 | Charles Bishop | Orthopaedic Surgery | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2014-05-05 |
1972873495 | Charles Edward Bishop | Pharmacist | 2727 N Maize Rd, Wichita, KS 67205-7311 | 2012-01-02 |
1295906170 | Charles Bishop | Audiologist | 2500 N State St, Dept of Oto and Comm Sciences, Jackson, MS 39216-4500 | 2008-03-18 |
1023206950 | Charles Bishop | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2007-10-04 |
Street Address |
12 GINGER CREEK PARKWAY |
City | GLEN CARBON |
State | IL |
Zip Code | 62034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
Find all providers in zip 62034 |
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 |
---|---|---|---|---|
1770589053 | Frederick Wagner | Anesthesiology | 5921 Meridian Woods Drive, Glen Carbon, IL 62034-1545 | 2005-06-22 |
1184620544 | David A Reimers | Anesthesiology | 5921 Meridian Woods, Glen Carbon, IL 62034-1545 | 2005-06-21 |
1710218094 | Millennium Anesthesiology Consultants, LLC | Anesthesiology | 5921 Meridian Woods, Glen Carbon, IL 62034-1545 | 2010-01-26 |
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 | GLEN CARBON |
Zip Code | 62034 |
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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.