MARY L GONZALES (NPI# 1649203290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649203290 |
| Entity Type | Individual |
| Full Name | MARY L GONZALES |
| Other Name | MARY L HULLER |
| Credential | CRNA |
| Practice Address |
4500 Memorial Drive Anesthesia Dept Belleville IL 62223 |
| Practice Telephone | 6182574076 |
| Mailing Telephone | 6182574076 |
| Enumeration Date | 2006-07-08 |
| 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 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830983 | Mary Louise Gonzales | Doula | 5857 Hersholt Ave, Lakewood, CA 90712-1339 | 2019-09-19 |
| 1396213583 | Mary Elizabeth Gonzales | Behavior Technician | 1401 Parkmoor Ave Ste 108, San Jose, CA 95126-3403 | 2018-11-06 |
| 1730660234 | Mary Elva Gonzales | Nurse Practitioner | 188 Lantana Vly, Spring Branch, TX 78070-6098 | 2018-08-23 |
| 1396124764 | Mary Kristina Gonzales | Massage Therapist | 5427 Chicago Ave Sw, B1, Lakewood, WA 98499-3323 | 2015-05-19 |
| 1780928465 | Mary Isabel Gonzales | Psychologist | 1613 Weighost Dr, Harlingen, TX 78552-4289 | 2012-11-19 |
| 1316171424 | Mary Laura Gonzales | Speech-Language Pathologist | 202 W. Sunset, B, San Antonio, TX 78209 | 2009-05-05 |
| 1730254764 | Mary J Gonzales | Nurse Practitioner | Rr Fruit Street, Yaw 8b, Boston, MA 02114-2696 | 2006-11-22 |
| 1356814495 | Mary Gonzales | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-01-10 |
| 1013403203 | Mary C Gonzales | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2018-07-10 |
| 1447770706 | Mary Gonzales | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-06-27 |
| Street Address |
4500 MEMORIAL DRIVE ANESTHESIA DEPT |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932141561 | Anesthesia Associates of Belleville | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Anesthesia Dept, Belleville, IL 62223 | 2006-06-11 |
| 1497116750 | Whitney E Heischmidt | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Memorial Hospital Anesthesia Dept, Belleville, IL 62226 | 2016-03-15 |
| 1366803751 | Jessica Joann Stoneburner | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Memorial Hospital Anesthesia Department, Belleville, IL 62226 | 2016-03-11 |
| 1114388709 | Leah D Corbitt | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Anesthesia Depart Memorial Hospital, Belleville, IL 62226 | 2016-03-10 |
| 1972962561 | Logan Taylor | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Memorial Hospital, Belleville, IL 62226 | 2016-02-11 |
| 1760851976 | Sarah A. Luong | Nurse Practitioner | 4500 Memorial Drive, Cep America- Hospitalist Memorial Hospital, Belleville, IL 62226 | 2015-09-17 |
| 1053713750 | Oa Associates LLC Dba Orthopedic and Sports Medicine Ltd. | Physician Assistant | 4500 Memorial Drive, Memorial Hospital Medical Affairs, Belleville, IL 62226 | 2014-09-24 |
| 1487874467 | Eric Philip Feder | Physical Therapist | 4500 Memorial Drive, Memorial Hospital Physical Therapy Dept, Belleville, IL 62226 | 2007-05-01 |
| 1124171939 | Deborah Jean Schneider | Physical Therapist | 4500 Memorial Drive, Belleville, IL 62226 | 2007-01-18 |
| 1972673390 | Karen E Suguitan | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Belleville, IL 62223 | 2006-11-09 |
| 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.