MR. CHAD MICHAEL RISTAU (NPI# 1013187558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013187558 |
| Entity Type | Individual |
| Full Name | MR. CHAD MICHAEL RISTAU |
| Practice Address |
2 Crescent Park West. Warren General Hospital Warren PA 16365 |
| Mailing Address |
1746 Kuntz Rd Erie PA 16509-2642 |
| Practice Telephone | 8147233300 |
| Mailing Telephone | 8148662684 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN528488L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 CRESCENT PARK WEST. WARREN GENERAL HOSPITAL |
| City | WARREN |
| State | PA |
| Zip Code | 16365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| 1851456008 | Philip Lamont Vance | Chiropractor | 10 Conewango Ave, Warren, PA 16365 | 2006-12-27 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1780860288 | Amy L Combs | Nurse Anesthetist, Certified Registered | 13692 Leonard Ave, Warren, MI 48089-2822 | 2008-01-14 |
| 1699963256 | Diane Grace Dicenso | Nurse Anesthetist, Certified Registered | 1350 East Market St, Trumbull Memorial Hospital, Warren, OH 44484 | 2007-10-09 |
| 1205992476 | Emerita Tabor Banas | Nurse Anesthetist, Certified Registered | 11800 East 12-mile Rd, Warren, MI 48093 | 2006-12-29 |
| 1417930777 | Mark A Morici | Nurse Anesthetist, Certified Registered | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2005-11-21 |
| 1194350645 | Katherine Sara Streidl | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-05 |
| 1952774036 | Paul Hilliker | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093 | 2015-11-11 |
| 1265857577 | Amanda Danielle Angus | Nurse Anesthetist, Certified Registered | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2014-02-24 |
| 1821429184 | Benjamin Hoste | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2013-12-11 |
| 1841638038 | Kathy Simanowski | Nurse Anesthetist, Certified Registered | 2 W Crescent Park, Warren, PA 16365-2111 | 2013-06-10 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.