INDIRA DANTURTI (NPI# 1174797773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174797773 |
| Entity Type | Individual |
| Full Name | INDIRA DANTURTI |
| Credential | M.D. |
| Practice Address |
8600 N State Route 91 Suite 250 Peoria IL 61615-9541 |
| Practice Telephone | 3096925393 |
| Practice Fax Number | 3096922538 |
| Mailing Telephone | 3096925393 |
| Mailing Fax Number | 3096922538 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2015-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036-119819 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
8600 N STATE ROUTE 91 SUITE 250 |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501359 | Jeremy L Krock | Anesthesiology | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2005-10-11 |
| 1861948044 | Monica L Dunn | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-08-29 |
| 1013369149 | Brittany N Hemmele | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-07-13 |
| 1497107296 | Kathryn A Swain-abraham | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-07-06 |
| 1538537444 | Kristin M Burns | Advanced Practice Midwife | 8600 N State Route 91, Suite 330, Peoria, IL 61615-9541 | 2015-09-09 |
| 1669840575 | Teverbaugh Croland and Mueller Ob/gyn and Associates, S.c. | Advanced Practice Midwife | 8600 N State Route 91, Suite 330, Peoria, IL 61615-9541 | 2015-09-09 |
| 1518356419 | Cody Dykes | Nurse Anesthetist, Certified Registered | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2015-01-15 |
| 1093119661 | Megan M Cunningham | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-10-10 |
| 1285037929 | Lauren M Petoskey | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-10-08 |
| 1396144846 | Jessica B Young | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1871835793 | Robert Thompson Myers | Anesthesiology | 10303 N Spring Ln, Peoria, IL 61615-1349 | 2013-03-18 |
| 1528334729 | Deepak Raj Sharma | Anesthesiology | 10204 W Happy Valley Pkwy Ste 160, Peoria, AZ 85383-2880 | 2012-04-01 |
| 1093971574 | Adam Todd Kramer | Anesthesiology | 13090 N 94th Dr Ste 212, Peoria, AZ 85381-4258 | 2008-08-04 |
| 1134321540 | Drew Mark Davenport | Anesthesiology | 12874 W Dove Wing Way, Peoria, AZ 85383-2491 | 2007-06-05 |
| 1386784155 | Eric Hawkins | Anesthesiology | 22i Ne Glen Oak Ave, Methodist Medical Center Anesthesiology, Peoria, IL 61636-0001 | 2007-02-08 |
| 1184662884 | Abc Anesthesiologists Pllc | Anesthesiology | 10204 W Happy Valley Pkwy Ste 160b, Peoria, AZ 85383-2880 | 2006-06-03 |
| 1518918978 | Caridad Bravo-fernandez | Anesthesiology | 15262 N. 75th Avenue, Suite 400 Pain Solution Center, LLC, Peoria, AZ 85381-4762 | 2006-05-12 |
| 1245208685 | Anesthesia Specialties Alliance, S.c. | Anesthesiology | 7309 N. Knoxville Ave., Peoria, IL 61614 | 2006-03-10 |
| 1073501359 | Jeremy L Krock | Anesthesiology | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2005-10-11 |
| 1700424363 | Comet Anesthesia LLC | Anesthesiology | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-12-13 |
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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.