MS. STACY L BURG (NPI# 1992903835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992903835 |
| Entity Type | Individual |
| Full Name | MS. STACY L BURG |
| Credential | CRNA |
| Practice Address |
800 E Locust St Olney IL 62450-2553 |
| Practice Telephone | 6183957340 |
| Mailing Telephone | 6183957340 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2010-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209005594 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 E LOCUST ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252511 | Paul W Sutherland | Surgery | 800 E Locust St, Olney, IL 62450-2553 | 2005-11-16 |
| 1174142665 | Samantha A Lewis | Speech-Language Pathologist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-14 |
| 1972132991 | Clinton David Rauch | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-02 |
| 1629607544 | Ladi Stallard | Physical Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-02 |
| 1770111999 | Kelsey Lynn Runyon | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1801424957 | Katrina Williams | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1700414877 | Whitley Dawn Houchin | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1073143475 | Arrow Ambulance, LLC | Ambulance | 800 E Locust St, Olney, IL 62450-2553 | 2020-01-24 |
| 1003452095 | Shay N Farris | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2019-11-25 |
| 1043861883 | Kelsie Ann Harper | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2019-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| 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 |
|---|---|---|---|---|
| 1578803144 | Judy E Hutto | Nurse Anesthetist, Certified Registered | 801 Wilson Rd, Olney, TX 76374-6431 | 2013-02-19 |
| 1164814000 | Thomas Falcone | Nurse Anesthetist, Certified Registered | 800 E Locust St, Olney, IL 62450-2553 | 2015-03-02 |
| 1821339110 | Elizabeth Delahay Wojno | Nurse Anesthetist, Certified Registered | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2013-03-11 |
| 1396017877 | Benjamin Shawn Curtis | Nurse Anesthetist, Certified Registered | 800 E Locust St, Olney, IL 62450-2553 | 2012-01-31 |
| 1003026402 | Barbara W. Dawson | Nurse Anesthetist, Certified Registered | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2007-05-23 |
| 1295850634 | Jennifer L Nevala | Nurse Anesthetist, Certified Registered | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2007-03-21 |
| 1548310832 | David J Weltz | Nurse Anesthetist, Certified Registered | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2007-01-11 |
| 1316044324 | John Wall | Nurse Anesthetist, Certified Registered | 800 E Locust St, Olney, IL 62450-2553 | 2006-09-20 |
| 1417054438 | John Allen | Nurse Anesthetist, Certified Registered | 800 E Locust St, Olney, IL 62450-2553 | 2006-09-20 |
| 1851317531 | Billy Ross | Nurse Anesthetist, Certified Registered | 800 E Locust St, Olney, IL 62450-2553 | 2006-07-14 |
| Find all providers in OLNEY | ||||
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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.