Matthew J Bruening (NPI# 1487661179, PAC ID# 9133114085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1487661179 |
| PAC ID by PECOS | 9133114085 |
| Professional Enrollment ID | I20040419001387 |
| Full Name | Matthew J Bruening |
| Organization Legal Name | EYE ANESTHESIA LLC |
| Address |
3990 N Illinois St Swansea IL 62226-1919 |
| Phone Number | 6182771130 |
| Gender | M |
| Credential | CNA |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5698922581 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| Address | Phone | Organization |
|---|---|---|
| 4500 Memorial Dr, Belleville, IL 62226-5360 | 6182574376 | ANESTHESIA ASSOCIATES OF BELLEVILLE |
| 1404 Cross St, Shiloh, IL 62269-2988 | 6186071000 | ANESTHESIA ASSOCIATES OF BELLEVILLE |
| 3990 N Illinois St, Swansea, IL 62226-1919 | 6182771130 | EYE ANESTHESIA LLC |
| Organization Legal Name | EYE ANESTHESIA LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha E Fernandez | Anesthesiology | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Robert Hellman | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Kristina L Gallina | Certified Registered Nurse Anesthetist (crna) | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Ellis R Taylor Jr. | Anesthesiology | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Melissa L Brown | Anesthesiology | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Erika L Herrin | Certified Registered Nurse Anesthetist (crna) | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Tana D Settle | Anesthesiology | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Linda J Bara-albanese | Certified Registered Nurse Anesthetist (crna) | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Oliver J Wolfe | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Kari L Rheinecker | Certified Registered Nurse Anesthetist (crna) | Eye Anesthesia LLC | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 |
| Street Address |
3990 N ILLINOIS ST |
| City | SWANSEA |
| State | IL |
| Zip | 62226-1919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Hellman | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Homer A Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | |
| Daniel P Walsh | Optometry | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Jeffrey M Maher | Ophthalmology | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Eric Wigton | Ophthalmology | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Donald R Unwin | Ophthalmology | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Bart A Jones | Ophthalmology | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Oliver J Wolfe | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Mary L Gonzales | Certified Registered Nurse Anesthetist (crna) | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Gary D Meier | Optometry | Eyecare Management LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naheed T Bashir | Interventional Radiology | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| Jennifer S Middendorf | Nurse Practitioner | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| David L Eisenberg | Obstetrics/gynecology | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Jessica L Schneider | Nurse Practitioner | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Ashley R Brown | Clinical Social Worker | 4460 N Illinois St, Suite 7, Swansea, IL 62226-1899 | |
| Brandon Cory Steele | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Timothy J Bertelsman | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Robin L Dalske | Psychologist, Clinical | 4010 N Illinois St, Swansea, IL 62226-1967 | |
| Samuel A Burstein | Hematology/oncology | Illinois Oncology Ltd | 4000 N Illinois Ln C, Swansea, IL 62226-1969 |
| John L Visconti | Hematology/oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| Find all physicians in zip 62226 | |||
| City | SWANSEA |
| Zip Code | 62226 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SWANSEA + 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.