Andrew J Moody (NPI# 1962488973, PAC ID# 8325063241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1962488973 |
| PAC ID by PECOS | 8325063241 |
| Professional Enrollment ID | I20051011000076 |
| Full Name | Andrew J Moody |
| Organization Legal Name | MCLEAN COUNTY ANESTHESIOLOGY, LTD. |
| Address |
1505 Eastland Dr Suite Ll1100 Bloomington IL 61701-3534 |
| Phone Number | 3096622500 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2567366438 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140162 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1505 Eastland Dr, Suite Ll1100, Bloomington, IL 61701-3534 | 3096622500 | MCLEAN COUNTY ANESTHESIOLOGY, LTD. |
| 2200 E Washington St, Bloomington, IL 61701-4364 | 3096623311 | MCLEAN COUNTY ANESTHESIOLOGY, LTD. |
| Organization Legal Name | MCLEAN COUNTY ANESTHESIOLOGY, LTD. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald E Richardson Jr. | Certified Registered Nurse Anesthetist | Mclean County Anesthesiology, Ltd. | 2200 E Washington, Bloomington, IL 61701-4364 |
| Walter Knoll | Anesthesiology | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Jason W Brian | Certified Registered Nurse Anesthetist (crna) | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Julie R Heisel-wolter | Certified Registered Nurse Anesthetist (crna) | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Adrienne Y Williams | Anesthesiology | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Gregory R Dubois | Certified Registered Nurse Anesthetist (crna) | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| John C Han | Anesthesiology | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Shara A Phifer-anderson | Certified Registered Nurse Anesthetist (crna) | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Wendy M Carlton | Certified Registered Nurse Anesthetist (crna) | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Nachelle Jean Richard | Certified Registered Nurse Anesthetist (crna) | Mclean County Anesthesiology, Ltd. | 2200 E Washington St, Bloomington, IL 61701-4364 |
| Street Address |
1505 EASTLAND DR SUITE LL1100 |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61701-3534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bethani J Flesher | Nurse Practitioner | Osf Multi-specialty Group | 1505 Eastland Dr, 320 Crtca Plmnry Slp Med, Bloomington, IL 61701-7912 |
| Julie M Warnecke | Nurse Practitioner | Osf Multi-specialty Group | 1505 Eastland Dr, 330 Heartcare Midwest, Bloomington, IL 61701-7912 |
| Venkata R Dodda | Pulmonary Disease | Osf Multi-specialty Group | 1505 Eastland Dr, 320 Crtca Plmnry Slp Med, Bloomington, IL 61701-7912 |
| Kenneth H Inoue | Hospitalist | Osf Multi-specialty Group | 1505 Eastland Dr, 320 Crtca Plmnry Slp Med, Bloomington, IL 61701-7912 |
| Jason Wesley Cash | Family Medicine | Osf Multi-specialty Group | 1505 Eastland Dr, 330 Heartcare Midwest, Bloomington, IL 61701-7912 |
| Sarah Maurer | Nurse Practitioner | Osf Multi-specialty Group | 1505 Eastland Dr, 330 Heartcare Midwest, Bloomington, IL 61701-7912 |
| Frank W Hsu | Hospitalist | Osf Multi-specialty Group | 1505 Eastland Dr, 320 Crtca Plmnry Slp Med, Bloomington, IL 61701-7912 |
| Matilde E Francois | General Surgery | Integrated Surgical Specialists LLC | 1505 Eastland Dr, Suite 2300, Bloomington, IL 61701-7910 |
| Summer Mustafa Hassan | Family Medicine | Osf Multi-specialty Group | 1505 Eastland Dr, 320 Crtca Plmnry Slp Med, Bloomington, IL 61701-7912 |
| Sara A Francois | Physical Therapy | Central Illinois Orthopedic Surgery II LLC. | 1505 Eastland Dr, Suite 220, Bloomington, IL 61701-7906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Buecker | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Ryan E Newberger | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Kayla S Olesky | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Alex R Yuan | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Tracy Pacini | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Dean Ryan Mccullough | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| James W Tarasuik Jr. | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Jenia Rochelle Heavens | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Paula C Miller | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Nancy G Duffy | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Find all physicians in zip 61701 | |||
| City | BLOOMINGTON |
| Zip Code | 61701 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BLOOMINGTON + 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.