SOUTHERN ILLINOIS ANESTHESIA LTD (NPI# 1932145000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932145000 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS ANESTHESIA LTD |
| Practice Address |
2030 Sherman Dr Princeton IN 47670-1045 |
| Mailing Address |
Po Box 3276 Evansville IN 47731-3276 |
| Practice Telephone | 8123855820 |
| Practice Fax Number | 8123855826 |
| Mailing Telephone | 8124730181 |
| Mailing Fax Number | 8124735822 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | DENNIS L GRIGGS (PRESIDENT) |
| Authorized Official Telephone | 8124730181 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CF0120 | 01 | |
| IN | 200095330 | 05 | |
| IN | ANTHEM | 000000071585 | 01 |
| Street Address |
2030 SHERMAN DR |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144373648 | Princeton Surgery Center, LLC | Clinic/Center | 2030 Sherman Dr, Princeton, IN 47670-1045 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
| Find all providers in zip 47670 | ||||
| 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 |
|---|---|---|---|---|
| 1316187560 | Walter Henry Waskow | Anesthesiology | 1 Westfield Ct, Princeton, NJ 08540-4713 | 2009-03-01 |
| 1255595849 | Daksha Bharat Shah | Anesthesiology | 11 Pennyroyal Ct, Princeton, NJ 08540 | 2008-07-14 |
| 1134265697 | Doctors' Anesthesia Associates Inc | Anesthesiology | 109 Morrison Drive, Princeton, WV 24740 | 2007-01-30 |
| 1508924671 | Sherri B Ross | Anesthesiology | 109 Morrison Dr, Princeton, WV 24740-2322 | 2006-12-04 |
| 1306823778 | Andrew Hanyoung Kim | Anesthesiology | 253 Witherspoon St, Princeton Anesthesia Services, Princeton, NJ 08540-3211 | 2005-12-28 |
| 1275879215 | Robert L Wellner | Anesthesiology | 10 Forrestal Rd S, Suite 209, Princeton, NJ 08540-6666 | 2012-12-19 |
| 1407127400 | Patrice Collins | Anesthesiology | 42 Christopher Dr, Princeton, NJ 08540-2321 | 2012-01-23 |
| 1649597436 | Michael Joseph Bowling | Anesthesiology | 109 Morrison Dr, Princeton, WV 24740-2322 | 2010-05-03 |
| 1801036165 | Lmg M.d., Inc. | Anesthesiology | 727 State Rd, Princeton, NJ 08540-1444 | 2009-02-26 |
| 1841466547 | Philippe Georges Ball | Anesthesiology | 109 Morrison Dr, Princeton, WV 24740-2322 | 2008-05-02 |
| Find all providers in PRINCETON | ||||
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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.