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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | G2971 | 01 |
Street Address |
400 N PLEASANT AVE |
City | CENTRALIA |
State | IL |
Zip Code | 62801-3056 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 62801 |
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 |
---|---|---|---|---|
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 |
Find all providers in CENTRALIA |
Please comment or provide details below to improve the information on ROBINSON J OMOTOLA.
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.