MCLEAN COUNTY ANESTHESIOLOGY, LTD. (NPI# 1063448215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063448215 |
| Entity Type | Organization |
| Organization Name | MCLEAN COUNTY ANESTHESIOLOGY, LTD. |
| Practice Address |
1505 Eastland Dr Suite Ll 1400 Bloomington IL 61701-3534 |
| Practice Telephone | 3096634700 |
| Practice Fax Number | 3096650575 |
| Mailing Telephone | 3096634700 |
| Mailing Fax Number | 3096650575 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | DR. BRUCE R CHANDLER (PRESIDENT) |
| Authorized Official Telephone | 3096634700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
042617190 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1505 EASTLAND DR SUITE LL 1400 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142017 | Yogesh K Agarwal | Internal Medicine | 1505 Eastland Dr, Ste 330, Bloomington, IL 61701-3534 | 2005-05-24 |
| 1073082384 | Caroline J Turner | Nurse Practitioner | 1505 Eastland Dr, Bloomington, IL 61701-3534 | 2018-11-15 |
| 1548755366 | Sunanda R Kale | Nurse Practitioner | 1505 Eastland Dr, Bloomington, IL 61701-3534 | 2018-06-25 |
| 1790294403 | Sarah Kneip | Nurse Practitioner | 1505 Eastland Dr, Bloomington, IL 61701-3534 | 2017-09-26 |
| 1760909626 | Hannah K Corley | Nurse Practitioner | 1505 Eastland Dr, Bloomington, IL 61701-3534 | 2017-08-23 |
| 1467827592 | Kelly Karr | Registered Nurse | 1505 Eastland Dr, Bloomington, IL 61701-3534 | 2015-12-01 |
| 1205219607 | Michele Krieger-johnsen | Nurse Practitioner | 1505 Eastland Dr, Bloomington, IL 61701-7905 | 2015-07-02 |
| 1326420563 | Fresenius Medical Care Normal, LLC | Clinic/Center | 1505 Eastland Dr, Medical Plaza Lower Level, Bloomington, IL 61701-3534 | 2015-06-24 |
| 1588068803 | Allison Vogel | Physician Assistant | 1505 Eastland Dr, Bloomington, IL 61701-3534 | 2014-10-15 |
| 1578964987 | Kristin N Wilkins | Clinical Nurse Specialist | 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 | 2014-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831132950 | Gary Lee Gettelfinger | Anesthesiology | 888 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2006-06-14 |
| 1215924410 | Ramsin Benyamin | Anesthesiology | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2005-10-03 |
| 1053840124 | Guardian Interventional Pain Management Institute LLC | Anesthesiology | 2203 Eastland Dr Ste 7, Bloomington, IL 61704-7924 | 2017-06-12 |
| 1194091108 | Edgar Martinez | Anesthesiology | 888 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2012-03-24 |
| 1912202409 | Guardian Headache & Pain Management Institute LLC | Anesthesiology | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7918 | 2011-01-14 |
| 1538145396 | Robert A Kolodziejczyk | Anesthesiology | 1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 | 2005-12-22 |
| 1356327118 | Debbie Booton Bailey | Anesthesiology | 1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 | 2005-12-22 |
| 1558347310 | Ji Li | Anesthesiology | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2005-12-22 |
| 1376529131 | John Han | Anesthesiology | 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701-3534 | 2005-12-22 |
| 1720064736 | Tian Bin Feng | Anesthesiology | 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701-3534 | 2005-12-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.