STEVEN THOMAS MATTHIESEN (NPI# 1841629441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841629441 |
| Entity Type | Individual |
| Full Name | STEVEN THOMAS MATTHIESEN |
| Practice Address |
50820 Summit Hill Ct Shadowfax Anesthesia Granger IN 46530-9720 |
| Practice Telephone | 3124151137 |
| Mailing Telephone | 3124151137 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28212067A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50820 SUMMIT HILL CT SHADOWFAX ANESTHESIA |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-9720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| 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 |
|---|---|---|---|---|
| 1174876577 | Roni Aizigov | Nurse Anesthetist, Certified Registered | 5507 Singer Ct, Granger, IN 46530-4481 | 2012-10-23 |
| 1740727361 | Emily Ratkiewicz | Nurse Anesthetist, Certified Registered | 5507 Singer Ct, Granger, IN 46530-4481 | 2017-01-20 |
| 1134570153 | Cardinal Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5507 Singer Ct, Granger, IN 46530-4481 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067579 | Apollo Medical Group of Lake George LLC | Nurse Anesthetist, Certified Registered | 6245 N Old 27, Fremont, IN 46737-8711 | 2020-09-15 |
| 1053938324 | Sara Rosemarie Saylor | Nurse Anesthetist, Certified Registered | 4455 Edison Lakes Pkwy # 100, Mishawaka, IN 46545-1414 | 2020-07-02 |
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1912540931 | Evin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1101 Professional Blvd Ste 104, Evansville, IN 47714-8018 | 2019-10-22 |
| 1427619840 | Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | 3212 Hickory Rd Ste A, Mishawaka, IN 46545-8863 | 2019-06-26 |
| 1013475375 | Vigilance Anesthesiologists & Pain Specialists PC | Nurse Anesthetist, Certified Registered | 5363 Commerce Blvd, Crown Point, IN 46307-5325 | 2019-03-06 |
| 1023572781 | Allied Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 53990 Carmichael Dr Ste 100, South Bend, IN 46635-1585 | 2019-01-28 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1275018236 | Indiana Ams LLC | Nurse Anesthetist, Certified Registered | 9200 Calumet Ave Ste 200, Munster, IN 46321-2885 | 2018-09-26 |
| Find all providers with the same taxonomy | ||||
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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.