MR. TRACY H. VANDERWIEL


Address: 300 Randall Rd, Geneva, IL 60134-4200
Phone: 6302083000

MR. TRACY H. VANDERWIEL (NPI# 1871526749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871526749
Entity Type Individual
Full Name MR. TRACY H. VANDERWIEL
Credential C.R.N.A.
Practice Address 300 Randall Rd
Geneva
IL 60134-4200
Practice Telephone 6302083000
Mailing Telephone 6302083000
Enumeration Date 2006-07-07
Last Update Date 2011-01-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041-316353 IL Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 2090066280413163 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 RANDALL RD
City GENEVA
State IL
Zip Code 60134-4200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407859655 Delnor-community Hospital General Acute Care Hospital 300 Randall Rd, Geneva, IL 60134-4200 2005-05-23
1811524994 Daniel Reine Student in an Organized Health Care Education/Training Program 300 Randall Rd, Geneva, IL 60134-4200 2020-03-26
1336776400 Hope Christiansen Family Medicine 300 Randall Rd, Geneva, IL 60134-4200 2020-03-26
1962039677 Ellean Zhang Family Medicine 300 Randall Rd, Geneva, IL 60134-4200 2020-03-24
1730716598 Han Myoung Park Family Medicine 300 Randall Rd, Geneva, IL 60134-4200 2020-03-23
1225664220 Autumn E Bernicky Student in an Organized Health Care Education/Training Program 300 Randall Rd, Geneva, IL 60134-4200 2020-03-21
1457985350 Kinga Radowska Student in an Organized Health Care Education/Training Program 300 Randall Rd, Geneva, IL 60134-4200 2020-02-28
1104387885 Rachel Elizabeth Dewey Family Medicine 300 Randall Rd, Geneva, IL 60134-4200 2019-03-26
1649739913 Evan Justin Hale Family Medicine 300 Randall Rd, Geneva, IL 60134-4200 2019-03-17
1124557152 Josephine Soyoung Lee-kim Hospitalist 300 Randall Rd, Geneva, IL 60134-4200 2017-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902403918 Glenda Creighton Physical Therapist 0n 801 Friendship Way, Geneva, IL 60134 2020-10-02
1467912212 Cierra Monae French Family Medicine Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 2019-03-20
1497246227 Linda Huber Psychologist 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 2018-05-29
1003305459 Nicole Collins Specialist/Technologist 1125 Lewis Road, Geneva, IL 60134 2018-05-01
1013438704 Emily Byars Clinic/Center 1111 Greenfield Circle, Geneva, IL 60134 2017-07-03
1982142980 Samantha Courtney Counselor 1120 Randall Ct., Geneva, IL 60134 2017-02-09
1073055026 Physical Rehabilitation Clinics Physical Therapist 507 S. 3rd St. Unit I, Geneva, IL 60134 2016-11-08
1265868707 Gina Marie Gilchrist Dietitian, Registered 39w479 W Haladay Ln, Geneva, IL 60134 2013-09-16
1770823585 William A. Goodfellow General Practice 1010 S. Batavia Ave., Geneva, IL 60134 2013-02-15
1467705392 Kylie L Mack Physician Assistant 351 Delnor Dr #100, Geneva, IL 60134 2012-10-16
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750476511 Patrick J Montague Nurse Anesthetist, Certified Registered 39w550 W Haladay Ln, Geneva, IL 60134-4853 2006-10-04
1811928633 Tamara Gregory Nurse Anesthetist, Certified Registered 40w012 Wellington Way, Geneva, IL 60134 2006-07-06
1568427045 Bradley P Johnson Nurse Anesthetist, Certified Registered 196 North Street, Geneva, NY 14456 2006-04-19
1134650096 Matthew Deniger Nurse Anesthetist, Certified Registered 300 Randall Rd, Geneva, IL 60134-4200 2017-03-22
1750718664 Lisa Tierney Nurse Anesthetist, Certified Registered 300 Randall Rd, Geneva, IL 60134-4200 2013-10-09
1821327636 Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered 870 W Main St, Geneva, OH 44041-1219 2009-12-08
1942538202 Safe Anesthesia, LLC Nurse Anesthetist, Certified Registered 870 W Main St, Geneva, OH 44041-1219 2009-11-25
1508920315 Christopher F Arbir Nurse Anesthetist, Certified Registered 300 Randall Rd, Geneva, IL 60134-4200 2006-12-19
1417042581 Delnor Community Hospital Nurse Anesthetist, Certified Registered 300 Randall Rd, Geneva, IL 60134-4200 2006-10-04
1215022140 Lynn Casey-maher Nurse Anesthetist, Certified Registered 300 Randall Rd, Geneva, IL 60134-4200 2006-10-04
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Competitor

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City GENEVA
Zip Code 60134

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Dataset Information

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.

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