MARISSA DYANNE WEAVER (NPI# 1700110996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700110996 |
| Entity Type | Individual |
| Full Name | MARISSA DYANNE WEAVER |
| Credential | CRNA |
| Practice Address |
111 Spring St Streator IL 61364-3332 |
| Mailing Address |
1800 E Lake Shore Dr Suite 2500 Decatur IL 62521-3810 |
| Practice Telephone | 8156732311 |
| Practice Fax Number | 8156734592 |
| Mailing Telephone | 2174642729 |
| Mailing Fax Number | 2174641693 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 041-303587 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053544387 | Marissa A Weaver | Physician Assistant | 2895 Hamilton Blvd, Suite 104, Allentown, PA 18104-6172 | 2009-09-03 |
| Street Address |
111 SPRING ST |
| City | STREATOR |
| State | IL |
| Zip Code | 61364-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732725 | St. Mary's Hospital Streator Hospital Sisters of The 3rd Order St Fran | General Acute Care Hospital | 111 Spring St, Streator, IL 61364-3332 | 2005-06-30 |
| 1801410360 | Tyler Joseph Hogan | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2020-06-01 |
| 1407408149 | Jeanette T Mosley | Nurse Practitioner | 111 Spring St, Streator, IL 61364-3332 | 2019-07-12 |
| 1336614676 | Arika C Safranski | Nurse Practitioner | 111 Spring St, Streator, IL 61364-3332 | 2018-10-12 |
| 1922508480 | Megan Jeanne Rowe | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2018-02-20 |
| 1598271058 | Mary E Yuhas | Speech-Language Pathologist | 111 Spring St, Streator, IL 61364-3332 | 2017-12-20 |
| 1750709630 | St. Mary's Hospital | General Acute Care Hospital | 111 Spring St, Streator, IL 61364-3332 | 2014-03-28 |
| 1922422773 | Infinity-meds LLP | Emergency Medicine | 111 Spring St, Streator, IL 61364-3332 | 2014-02-14 |
| 1295176675 | Tariq Hasin Khan | Family Medicine | 111 Spring St, 3rd Floor, Streator, IL 61364-3332 | 2013-07-12 |
| 1003161951 | Rebecca Elizabeth Lucas | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093110066 | Ottawa Friendship House Work Activity Center, Inc | Intermediate Care Facility, Mentally Retarded | 600 West 12th Street, Streator, IL 61364 | 2014-11-03 |
| 1306278973 | Robert Henry Harms | Veterinarian | 701 Oakley Ave, Streator, IL 61364 | 2013-08-06 |
| 1518202373 | Jessica L Hartman | Nurse Practitioner | 2377 N Bloomington St, Streator, IL 61364 | 2012-12-05 |
| 1992049563 | Wendell Allen Sargent | Dentist | 106 Boys St, Streator, IL 61364 | 2012-11-20 |
| 1215266036 | Sudha Pravinkumar | Internal Medicine | 2377 Bloomington Ave, Ste B, Streator, IL 61364 | 2009-12-08 |
| 1497988984 | Lifetime Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1215 N Ottercreek Rd., Streator, IL 61364 | 2009-08-31 |
| 1275709727 | Fresenius Medical Care of Illinois LLC | Clinic/Center | 2356 North Bloomington St, Streator, IL 61364 | 2008-05-05 |
| 1487701793 | Tammy R Thieme | Social Worker | 17 North Point Plaza, Streator, IL 61364 | 2007-01-05 |
| 1629185376 | Gary Finkelstein Md Eye Associates Sc | Ophthalmology | 102 West Elm Street, Streator, IL 61364 | 2006-08-25 |
| 1134150808 | Indra Pal Mdsc | Internal Medicine | 104 Sixth Street, Streator, IL 61364 | 2006-07-05 |
| Find all providers in zip 61364 | ||||
| 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 |
|---|---|---|---|---|
| 1437162989 | Anesthesia Associates of Streator Sc | Nurse Anesthetist, Certified Registered | 111 Spring St, Streator, IL 61364-3332 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797525 | Crna Stat Inc | Nurse Anesthetist, Certified Registered | 4534 S Lake Park Ave, Chicago, IL 60653-4510 | 2020-07-08 |
| 1285258855 | Doug Brickey | Nurse Anesthetist, Certified Registered | 913 N Main St Apt 502, Rockford, IL 61103-7058 | 2020-05-30 |
| 1508480153 | Scott Allsup | Nurse Anesthetist, Certified Registered | 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 | 2020-05-29 |
| 1265051817 | Apollo Anesthesia and Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 520 Valley View Dr Ste 300, Moline, IL 61265-6152 | 2020-04-14 |
| 1194352286 | Decelle Jewel Manuel Enriquez | Nurse Anesthetist, Certified Registered | 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 | 2020-03-26 |
| 1538795398 | Marcin Cebula | Nurse Anesthetist, Certified Registered | 7519 Long Ave, Burbank, IL 60459-1362 | 2020-03-12 |
| 1376105684 | Tel Anesthesia, Ltd | Nurse Anesthetist, Certified Registered | 7 Flint Ct, Bloomington, IL 61705-8830 | 2019-07-08 |
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1689130247 | Sheri Rylko | Nurse Anesthetist, Certified Registered | 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 | 2019-02-19 |
| 1760968101 | Daniel Bermea | Nurse Anesthetist, Certified Registered | 6811 Brementowne Dr, Tinley Park, IL 60477-1605 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARISSA DYANNE WEAVER.
| 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.