DR. ILIJAS GUSMIROVIC (NPI# 1861624975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861624975 |
| Entity Type | Individual |
| Full Name | DR. ILIJAS GUSMIROVIC |
| Credential | D.O. |
| Practice Address |
6800 State Route 162 Maryville IL 62062-8500 |
| Practice Telephone | 3145778000 |
| Mailing Telephone | 3146165799 |
| Enumeration Date | 2009-08-23 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036135225 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6800 STATE ROUTE 162 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666804 | Legatus Emergency Services LLC | Emergency Medicine | 6800 State Route 162, Maryville, IL 62062-8500 | 2005-06-01 |
| 1598373052 | Brittany Smith | Nurse Anesthetist, Certified Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2020-07-21 |
| 1285251033 | Cory Ray Austin | Nurse Anesthetist, Certified Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2020-06-28 |
| 1043856701 | Mallory Jean Stimac | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-11-18 |
| 1023577442 | Christie Marie Keen | Nurse Practitioner | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-03-15 |
| 1437623287 | Teressa Vigil | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2019-01-15 |
| 1891268355 | Eric Michael Watson | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-01-08 |
| 1649748831 | Mary Holowatuk | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8521 | 2018-11-06 |
| 1558846741 | Cori Warren | Occupational Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2018-10-03 |
| 1134604366 | Anna Mcnamara | Physical Therapist | 6800 State Route 162, Maryville, IL 62062-8500 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| 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 |
|---|---|---|---|---|
| 1326482977 | Darren Wrede | Anesthesiology | 2016 S Main St, Maryville, MO 64468 | 2013-04-25 |
| 1376862045 | Denise Liyana Charlton | Anesthesiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2010-05-20 |
| 1619132560 | Stuart Krein | Anesthesiology | 114 E South Hills Dr, Maryville, MO 64468-2659 | 2008-07-21 |
| 1457535288 | Wasif Almuttar,md,anes.svc.,p.c. | Anesthesiology | 2016 S Main St, Maryville, MO 64468-2655 | 2007-12-28 |
| 1952472003 | Human Utilization Experts Network, LLC | Anesthesiology | 2023 Vadalabene Dr, Suite 300, Maryville, IL 62062-5630 | 2006-11-12 |
| 1770654089 | Gregory Collins | Anesthesiology | 6810 State Route 162, Ste 215, Maryville, IL 62062-8501 | 2006-11-10 |
| 1851462063 | Mahmood Qalbani | Anesthesiology | 6810 State Route 162, Ste 215, Maryville, IL 62062-8501 | 2006-11-10 |
| 1942317920 | Gaelan Burns Luhn | Anesthesiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804 | 2006-08-24 |
| 1720028178 | Eric Maass | Anesthesiology | 2016 S Main St, Maryville, MO 64468-2655 | 2006-06-07 |
| 1710932439 | Ty Ann Heath | Anesthesiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2006-05-23 |
| Find all providers in MARYVILLE | ||||
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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.