STAT ANESTHESIA SPECIALISTS, LTD (NPI# 1821462243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821462243 |
| Entity Type | Organization |
| Organization Name | STAT ANESTHESIA SPECIALISTS, LTD |
| Practice Address |
10220 Wicker Ave Suite 3 Saint John IN 46373-9424 |
| Mailing Address |
18221 Torrence Ave Suite 1c Lansing IL 60438-2870 |
| Practice Telephone | 2195156943 |
| Practice Fax Number | 7088959455 |
| Mailing Telephone | 2195156943 |
| Mailing Fax Number | 7088959455 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | PAUL C POLLACHEK (ADMINISTRATOR) |
| Authorized Official Telephone | 2195156943 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
01065648A | IN | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | STAT ANESTHESIA SPECIALISTS, LTD. | 18221 Torrence Ave, Suite 1b, Lansing, IL 60438 |
| Street Address |
10220 WICKER AVE SUITE 3 |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-9424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407227085 | Transitions Counseling Center | Counselor | 10220 Wicker Ave, 3, Saint John, IN 46373-9424 | 2015-10-08 |
| 1134397771 | Abigail Ann Ercoli | Counselor | 10220 Wicker Ave, Suite 3, Saint John, IN 46373-9424 | 2008-02-18 |
| 1033155080 | Interventional Pain Management, Ltd. | Specialist | 10220 Wicker Ave, Suite 3, Saint John, IN 46373-9424 | 2006-06-20 |
| 1699724781 | Stat Anesthesia Specialists Ltd | Anesthesiology | 10220 Wicker Ave, Suite 3, Saint John, IN 46373-9424 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176087 | Pg Pro LLC | Pain Medicine | 4715 Statesmen Dr Ste Ab, Indianapolis, IN 46250-5642 | 2020-08-25 |
| 1942818109 | Advanced Pain Treatment of Chicago Sc | Pain Medicine | 1950 45th St Ste 101, Munster, IN 46321-3958 | 2020-07-14 |
| 1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
| 1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
| 1982185641 | Midwest Pain Institute Center for Minimally Invasive Spine PC | Pain Medicine | 7301 N Shadeland Ave Ste 1a, Indianapolis, IN 46250-2085 | 2018-08-22 |
| 1679088405 | Advanced Pain Care Clinic Psc | Pain Medicine | 5320 Weston Rd, Evansville, IN 47712-3701 | 2017-12-01 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1366987513 | Gary Gettelfinger Md Dabpm LLC | Pain Medicine | 1619 N Prairie Green Ct, Bloomington, IN 47408-8701 | 2016-12-27 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1801938642 | Michael G. Cassaro, Md, Psc | Pain Medicine | 200 Missouri Ave, Suite B, Jeffersonville, IN 47130-3061 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
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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.