ROBINSON J OMOTOLA


Address: 400 N Pleasant Ave, Centralia, IL 62801-3056
Phone: 6184365461

ROBINSON J OMOTOLA (NPI# 1760593131) 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) 1760593131
Entity Type Individual
Full Name ROBINSON J OMOTOLA
Credential CRNA
Practice Address 400 N Pleasant Ave
Centralia
IL 62801-3056
Mailing Address Po Box 917756
Orlando
FL 32891-7756
Practice Telephone 6184365461
Mailing Telephone 3528678898
Mailing Fax Number 3527326282
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367500000X Nurse Anesthetist, Certified Registered ARNP2030632 FL Physician Assistants & Advanced Practice Nursing Providers
Y 367500000X Nurse Anesthetist, Certified Registered IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHIELD G2971 01

Office Location

Street Address 400 N PLEASANT AVE
City CENTRALIA
State IL
Zip Code 62801-3056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083617245 St Mary's Hospital, Centralia, Illinois Psychiatric Unit 400 N Pleasant Ave, Centralia, IL 62801 2005-05-23
1538649967 Dana Leigh Trame Nurse Practitioner 400 N Pleasant Ave, Centralia, IL 62801-3056 2018-08-15
1487132387 Brandy Harrison Nurse Practitioner 400 N Pleasant Ave, Centralia, IL 62801-3056 2018-08-02
1225539398 Virginia Yvonne Wagner Social Worker 400 N Pleasant Ave, Centralia, IL 62801-3056 2018-02-23
1588105654 Jana Tull Nurse Practitioner 400 N Pleasant Ave, Centralia, IL 62801-3056 2017-03-09
1477097871 St. Mary's Hospital, Centralia, Illinois Anesthesiology 400 N Pleasant Ave, Centralia, IL 62801-3056 2016-12-05
1770031841 Barbara Dawn Becker Nurse Practitioner 400 N Pleasant Ave, Centralia, IL 62801-3056 2016-09-16
1831534460 Gopinath Gorthy Psychiatry & Neurology 400 N Pleasant Ave, Centralia, IL 62801-3056 2013-05-09
1982930079 Linda D Bryan Speech-Language Pathologist 400 N Pleasant Ave, Centralia, IL 62801-3056 2009-10-23
1710105192 St. Mary's Hospital, Centralia, Illinois Clinic/Center 400 N Pleasant Ave, Centralia, IL 62801 2007-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996151 Matthew Crawford Counselor 904 E Martin Luther King Dr, Centralia, IL 62801 2019-08-08
1588130314 Kennah White Counselor 904 E. Mlk Drive, Centralia, IL 62801 2018-10-19
1245721588 Lindsey Nicole Fogliasso Counselor 904 East Mlk Dr., Centralia, IL 62801 2018-05-22
1629573365 Prabhat Shrestha Student in an Organized Health Care Education/Training Program 605 Sable Drive, Centralia, IL 62801 2018-03-26
1619496098 Whitney Rathmann Speech-Language Pathologist 224 South Locust, Centralia, IL 62801 2017-09-17
1376082685 Athena A Smith Counselor 904 E. Martin Luther King Dr, Centralia, IL 62801 2017-02-20
1447704069 Meghan Branch Counselor 904 Martin Luther King Dr, Centralia, IL 62801 2016-08-11
1568820637 Midland Area Agency On Aging Case Management 434 S Poplar Street, Centralia, IL 62801 2016-02-04
1104201714 Keri Douglas Nurse Practitioner 1054 M. L. King Drive #125, Centrailia, IL 62801 2015-07-24
1215331509 Melissa Dane Counselor 904 E Martin Luther King Dr., Centralia, IL 62801 2014-10-15
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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
1316009483 Donna Pauley Nurse Anesthetist, Certified Registered 1820 Cooks Hill Rd., Centralia, WA 98531 2006-12-15
1831124288 James Douaedf Rueter Nurse Anesthetist, Certified Registered 400 N Pleasant, Centralia, IL 62801 2006-07-12
1366077745 Andrew J Maasdam Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Centralia, WA 98531-9027 2020-03-06
1134448996 Theodore Russell Gavel Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531-9027 2010-05-19
1457674640 Kevin P Burman Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Centralia, WA 98531-9027 2010-03-02
1750612917 Mikhail Pavlovich Nekhamis Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531-9027 2010-01-27
1013148808 Lees Anesthesia Services PC Nurse Anesthetist, Certified Registered 1045 M L King Dr, Centralia, IL 62801-3001 2009-07-28
1124279047 Archibald Nyamekye Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531-9027 2008-10-09
1992926380 Fredrick L Masters Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Centralia, WA 98531-9027 2007-05-01
1063584449 S Troy Porter Nurse Anesthetist, Certified Registered 400 N Pleasant, St Marys Hospital, Centralia, IL 62801-3056 2006-11-14
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City CENTRALIA
Zip Code 62801

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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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