Timothy A Sanders (NPI# 1134105018, PAC ID# 1153317565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1134105018 |
| PAC ID by PECOS | 1153317565 |
| Professional Enrollment ID | I20040421001752 |
| Full Name | Timothy A Sanders |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS LLC |
| Address |
8 Doctors Park Rd Mount Vernon IL 62864-6224 |
| Phone Number | 6188993869 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1991 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7810251501 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140294 | CROSSROADS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 6188993869 | ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | |
| MIPS_EC_427_overall | Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU) | 100% | |
| MIPS_EC_430_overall | Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy | 99% | |
| QCDR_EC_AQI29_overall | Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics) | 100% |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danuta Gwarnicka | Anesthesiology | Anesthesia Associates of Southern Illinois LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Vincent C Compton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Gregory S Clark | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Don E Bertschi | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Samuel P Figueroa | Anesthesiology | Anesthesia Associates of Southern Illinois LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Street Address |
8 DOCTORS PARK RD |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-6224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier A Tellagorry | Vascular Surgery | River To River Heart Group LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Ashish Moonat | Hospitalist | Forte Hospitalist Services LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Witold Szyfer | Internal Medicine | Forte Hospitalist Services LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Leslie L Simonton Smith | Obstetrics/gynecology | Asbery and Associates Ob Gyn LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Vincent C Compton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Don E Bertschi | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Sai Prashanth Babu Palepu | Family Medicine | Forte Hospitalist Services LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Samuel P Figueroa | Anesthesiology | Anesthesia Associates of Southern Illinois LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Brian T Burns | Family Practice | Forte Hospitalist Services LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Jonathon W White | Family Practice | Forte Hospitalist Services LLC | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MOUNT VERNON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.