Cody P Dykes (NPI# 1518356419, PAC ID# 8224354550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1518356419 |
| PAC ID by PECOS | 8224354550 |
| Professional Enrollment ID | I20150304002048 |
| Full Name | Cody P Dykes |
| Organization Legal Name | JACKSONVILLE CRNAS INC |
| Address |
1600 W Walnut Jacksonville IL 62650-1199 |
| Phone Number | 2172459541 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2961681523 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140058 | PASSAVANT AREA HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 W Walnut, Jacksonville, IL 62650-1199 | 2172459541 | JACKSONVILLE CRNAS INC |
| 8600 N State Route 91 250, Peoria, IL 61615-9542 | 3096925393 | ASSOCIATED ANESTHESIOLOGISTS, S.C. |
| Organization Legal Name | JACKSONVILLE CRNAS INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Newman | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Matthew J Bednarchik | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Tamara C Mcdonald | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| John M Furry | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Shane R Fancher | Interventional Pain Management | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jon D Gregory | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Obinna O Orji | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jarah Nicole Mcadams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Rachelle Dawn Williams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| David C Tonry | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Street Address |
1600 W WALNUT |
| City | JACKSONVILLE |
| State | IL |
| Zip | 62650-1199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Newman | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Matthew J Bednarchik | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Tamara C Mcdonald | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| John M Furry | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Shane R Fancher | Interventional Pain Management | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jon D Gregory | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Obinna O Orji | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jarah Nicole Mcadams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Rachelle Dawn Williams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| David C Tonry | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
| Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
| Eli Gottlieb Goodman | Internal Medicine | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in zip 62650 | |||
| City | JACKSONVILLE |
| Zip Code | 62650 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JACKSONVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Cody P Dykes.
| 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.