SHAWN MICHAEL WYNN


Address: 210 W Walnut St, Canton, IL 61520
Phone: 3096475240

SHAWN MICHAEL WYNN (NPI# 1750749826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750749826
Entity Type Individual
Full Name SHAWN MICHAEL WYNN
Practice Address 210 W Walnut St
Canton
IL 61520
Mailing Address 210 W Walnut St
Canton
IL 61520-2444
Practice Telephone 3096475240
Mailing Telephone 3096475240
Enumeration Date 2016-02-04
Last Update Date 2018-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 209.013769 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHAWN WYNN

NPI Name Taxonomy Address Enumeration
1205990843 Shawn W Wynn Orthopaedic Surgery 520 Valley View Dr, Moline, IL 61265-6194 2006-12-20

Office Location

Street Address 210 W WALNUT ST
City CANTON
State IL
Zip Code 61520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376540559 Andrew Roudebush Family Medicine 210 W Walnut St, Canton, IL 61520-2444 2005-07-04
1063046464 Dara Marie Wagner Nurse Practitioner 210 W Walnut St, Canton, IL 61520-2444 2020-02-25
1235699893 Christina Willey Occupational Therapist 210 W Walnut St, Canton, IL 61520-2444 2019-03-20
1487174744 Joshua J Wilkinson Nurse Practitioner 210 W Walnut St, Canton, IL 61520-2444 2017-06-27
1124482252 Ryan Deushane Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520 2016-04-05
1790143683 Midwest Mobile Anesthesia Consultants, Sc Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520-2444 2016-02-05
1417312232 Danielle Marianna Sausaman Dietitian, Registered 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 2015-12-21
1932530938 Amy Sammis Dietitian, Registered 210 W Walnut St, Canton, IL 61520-2444 2013-12-02
1609111988 William Severt Physical Therapist 210 W Walnut St, Canton, IL 61520-2444 2012-11-28
1437448578 Sandra Anne Haws Dietitian, Registered 210 W Walnut St, Canton, IL 61520-2444 2011-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497978480 Walton Cs-xi P.C. Chiropractor 410 E. Elm Street, Canton, IL 61520 2007-04-10
1811912918 Jennifer Christine Daniel-price Chiropractor 410 E Elm Street, Canton, IL 61520 2006-07-12
1245216241 Fulton County Health Department Clinic/Center 700 East Oak Street, Canton, IL 61520 2005-12-21
1740533835 Abby L. Sherwood Chiropractor 410 E Elm Street, Canton, IL 61520 2012-10-26
1417261041 Erin Kathleen Buckley Obstetrics & Gynecology 180 S Main St, Canton, IL 61520 2010-08-06
1619375532 Brittany Nicole Miller Nurse Practitioner 1300 E Locust St, Canton, IL 61520-0008 2014-12-09
1437197845 Heartland of Canton Il LLC Clinic/Center 2081 N Main St, Canton, IL 61520-1032 2006-06-04
1568063428 Mary J Eberle Pharmacist 2071 N Main St, Canton, IL 61520-1032 2020-11-05
1659970267 Amanda Sue Kinne Pharmacist 2071 N Main St, Canton, IL 61520-1032 2020-10-23
1952879132 Loft Rehabilitation and Nursing of Canton LLC Skilled Nursing Facility 2081 N Main St, Canton, IL 61520-1032 2018-11-06
Find all providers in zip 61520

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396264040 Brandi Hanchosky Nurse Anesthetist, Certified Registered 4665 Douglas Cir Nw # 100, Canton, OH 44718-3673 2017-09-13
1952841637 Andrew Joseph Proctor Nurse Anesthetist, Certified Registered 800 Pheasant Woods Drive, Canton, MI 48188-5224 2017-03-01
1083166383 Khushbu Modi Nurse Anesthetist, Certified Registered 276 Harmony Lake Dr, Canton, GA 30115-4781 2016-11-03
1760930572 Branden Joaquin Sibley Nurse Anesthetist, Certified Registered 6889 Wales Crossing St Nw Apt D, Canton, OH 44720-5383 2016-09-21
1366845554 Mississippi Anesthesia Group, LLC Nurse Anesthetist, Certified Registered 145 Sanctuary Ln, Canton, MS 39046-6601 2014-10-01
1104236884 Anne Elizabeth Murray Nurse Anesthetist, Certified Registered 173 Dedham St, Canton, MA 02021-1560 2014-05-02
1952593865 Brett T King Nurse Anesthetist, Certified Registered 208 Towne Overlook Dr, Canton, GA 30114-7239 2007-08-14
1184767436 Sed 8 Inc. Nurse Anesthetist, Certified Registered 1017 Field St Nw, Canton, OH 44709-1635 2007-02-15
1144246190 Elfrieda Marie Londeree Nurse Anesthetist, Certified Registered Ohio Hospital Based Physician Corp, 2600 Sixth Street Sw, Canton, OH 44710 2006-07-14
1528010675 Brian K Norcia Nurse Anesthetist, Certified Registered 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 2006-05-17
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City CANTON
Zip Code 61520

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Dataset Information

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.

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