MOUNIR F BANOUB (NPI# 1780683656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780683656 |
| Entity Type | Individual |
| Full Name | MOUNIR F BANOUB |
| Credential | MD |
| Practice Address |
800 E Carpenter St Springfield IL 62702-5324 |
| Practice Telephone | 2175446464 |
| Mailing Telephone | 2175446464 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036076402 | IL | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 35068550 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0186543 | 05 |
| Street Address |
800 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897315 | Karen M Stuckey | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-29 |
| 1679190581 | Natalie Kay Strope | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-26 |
| 1114542404 | Michael J Hohm | Physician Assistant | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-11 |
| 1528681145 | Steven David Sumpter | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-05-19 |
| 1679193387 | Jennifer Aumann | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1396365102 | Lauren Aileen Gregory | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1801420559 | Jia Dong | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-0002 | 2020-03-02 |
| 1790322469 | Sarah Hoppe | Occupational Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-12-02 |
| 1902442411 | Abigail Clark | Speech-Language Pathologist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-11-19 |
| 1528601861 | Tia Marie Utinske | Nurse Practitioner | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780039420 | Apex Anesthesia Associates LLC | Anesthesiology | 65 Springfield Ave, 1st Floor, Springfield, NJ 07081-1308 | 2016-05-02 |
| 1871992792 | Queen City Anesthesia Group, LLC | Anesthesiology | 3901 S Fremont Ave, Springfield, MO 65804-6538 | 2014-08-15 |
| 1588009492 | Donald Walter Claeys | Anesthesiology | 34454 Mckenzie View Dr, Springfield, OR 97478-9738 | 2013-05-06 |
| 1225268204 | Nandakumar Ponnusamy | Anesthesiology | Bay State Medical Ctr, 759 Chestnut Street, Springfield, MA 01199-0001 | 2009-07-23 |
| 1346498136 | Deborah Lynne Wirsing | Anesthesiology | 939 Harlow Rd Ste 110, Springfield, OR 97477-1190 | 2008-09-04 |
| 1346391778 | Gregg Joseph Salathe | Anesthesiology | 5173 S Virginia Ave, Springfield, MO 65810-2863 | 2007-01-14 |
| 1891887048 | Kamel Abraham | Anesthesiology | 1117 E Home Rd, Springfield, OH 45503-2725 | 2006-09-28 |
| 1700990603 | Florence E Odutola | Anesthesiology | Mercy Medical Ctr, 271 Carew Street, Springfield, MA 01104 | 2006-08-18 |
| 1679503437 | Michael E. Mehrer | Anesthesiology | 3801 S. National, Springfield, MO 65807 | 2006-07-04 |
| 1275508574 | Charles Milton Cook | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.