MATHEW J MAUPIN (NPI# 1033365291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033365291 |
| Entity Type | Individual |
| Full Name | MATHEW J MAUPIN |
| Credential | CRNA |
| Practice Address |
5401 N. Knoxville Suite 416 Peoria IL 61528 |
| Mailing Address |
5401 N Knoxville Ave Ste 416 Peoria IL 61614-5021 |
| Practice Telephone | 3096927246 |
| Practice Fax Number | 3096927226 |
| Mailing Telephone | 3096927246 |
| Mailing Fax Number | 3096927226 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209007157 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 N. KNOXVILLE SUITE 416 |
| City | PEORIA |
| State | IL |
| Zip Code | 61528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346504586 | Sarah Myers | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2012-07-03 |
| 1942814769 | Kellie O'brien | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2020-08-31 |
| 1295208379 | Way To Grow Pediatric Therapy Inc | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2019-01-10 |
| 1639405160 | Gayle Fengel | Dietitian, Registered | 6405 W Willow Oak Ct, Edwards, IL 61528-9419 | 2009-10-17 |
| 1033249362 | Priscilla Ann Weaver | Physical Therapist | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2007-03-06 |
| 1740735646 | Movement Specialists Physical Therapy, LLC | Early Intervention Provider Agency | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2016-08-20 |
| 1194279240 | John P Weaver | Physical Therapy Assistant | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2016-08-06 |
| 1184729824 | Hillary Jane Wasson | Social Worker | 6513 N Fox Chapel Trl, Edwards, IL 61528-9528 | 2006-09-14 |
| 1972978989 | Paricia Rosenbaum | Physical Therapy Assistant | 7021 W Challacombe Rd, Edwards, IL 61528-9534 | 2015-12-02 |
| 1659801199 | Elizabeth Ann Groeper | Speech-Language Pathologist | 6022 N Heinz Ln, Edwards, IL 61528-9550 | 2017-06-18 |
| Find all providers in zip 61528 | ||||
| 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 |
|---|---|---|---|---|
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1285802678 | Jenny Kunvarji Shah | Nurse Anesthetist, Certified Registered | 802 W Trailcreek Dr, Cosmetic Surgery Care, Peoria, IL 61614-1862 | 2008-02-19 |
| 1003919382 | Melissa Terhark | Nurse Anesthetist, Certified Registered | 8600 North State Route 91, Suite #250, Peoria, IL 61615 | 2006-09-05 |
| 1760419600 | Kristen L Manning | Nurse Anesthetist, Certified Registered | 8600 N State Route 91 Suite 250, Peoria, IL 61615-9506 | 2006-06-27 |
| 1518903798 | Marcus D Weeks | Nurse Anesthetist, Certified Registered | 8600 N State Route 91 Ste 250, Peoria, IL 61615-9506 | 2006-06-22 |
| 1942278130 | Larry J Kotewa | Nurse Anesthetist, Certified Registered | 124 W Whitehall Ct, Peoria, IL 61614-3032 | 2006-03-14 |
| 1588651566 | Timothy James Samolitis | Nurse Anesthetist, Certified Registered | 8600 N. State Route 91, Suite 250, Peoria, IL 61615 | 2005-10-04 |
| 1699761726 | Ann M Willemsen-dunlap | Nurse Anesthetist, Certified Registered | 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 | 2005-09-23 |
| 1407471485 | Amanda M Kruger | Nurse Anesthetist, Certified Registered | 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 | 2020-06-15 |
| Find all providers in PEORIA | ||||
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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.