Jonathan L Sorenson (NPI# 1063516136, PAC ID# 2860425451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1063516136 |
| PAC ID by PECOS | 2860425451 |
| Professional Enrollment ID | I20050914000749 |
| Full Name | Jonathan L Sorenson |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC |
| Address |
2 Good Samaritan Way Suite 200 Mount Vernon IL 62864-2476 |
| Phone Number | 6188993869 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1991 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648555433 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6188994600 | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 | 6188993869 | ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette I Ellis | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Christopher D Bourget | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| David P Rakey | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Jennifer Irene Bourgeois | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Holly A Wilke | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Julie Ann Aulds | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Douglas L Mcdonald | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Julianna M Peters | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Courtney J Broussard | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Antoinette H Appling | Anesthesiology | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Street Address |
2 GOOD SAMARITAN WAY SUITE 200 |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-2476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naresh K Ahuja | General Surgery | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864-2476 |
| David J. Huddleston | Pathology | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 405, Mount Vernon, IL 62864-2478 |
| Loring A Barr | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478 |
| Nadiene Ann Stock | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478 |
| Prateek Srinet | Otolaryngology | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478 |
| Tyler Wishau | Podiatry | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478 |
| Jeanette I Ellis | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Christopher D Bourget | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| David P Rakey | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Southern Illinois Surgery Center LLC | 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 |
| Shaheen Riadh Alanee | Urology | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478 |
| 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) |
Please comment or provide details below to improve the information on Jonathan L Sorenson.
| 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.