LINDSAY WAGNER (NPI# 1174978282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174978282 |
| Entity Type | Individual |
| Full Name | LINDSAY WAGNER |
| Credential | CRNA |
| Practice Address |
4646 N Marine Dr Chicago IL 60640 |
| Mailing Address |
11781 Lee Jackson Memorial Hwy Suite 550 Fairfax VA 22033 |
| Practice Telephone | 7738788700 |
| Practice Fax Number | 7087830920 |
| Mailing Telephone | 5717775106 |
| Mailing Fax Number | 7035636256 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 041394642 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384992 | Lindsay Wagner | Pharmacist | 10001 New Hampshire Ave Fl 4, Silver Spring, MD 20903-1707 | 2020-04-15 |
| 1497157457 | Lindsay Wagner | Psychologist | 75 Arlington St Fl 5, Boston, MA 02116-3936 | 2014-09-22 |
| 1497092027 | Lindsay Wagner | Occupational Therapist | 600 Evergreen Dr Fl 2, Glen Mills, PA 19342-1053 | 2013-01-16 |
| 1851687743 | Lindsay Nicole Wagner | Registered Nurse | 5089 Parke Ridge Ct, Sheboygan, WI 53083-1767 | 2011-06-20 |
| 1508237314 | Lindsay Wagner | Chiropractor | 1821 Wilshire Blvd, Santa Monica, CA 90403-5618 | 2015-10-20 |
| 1245565803 | Lindsay Cuaresma Wagner | Physician Assistant | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2009-10-14 |
| 1326274879 | Lindsay Wagner | Social Worker | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2009-06-10 |
| 1285815209 | Lindsay Davies Wagner | Physician Assistant | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2007-11-19 |
| Street Address |
4646 N MARINE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850969 | Peter A Hancock | Podiatrist | 4646 N Marine Dr, Ste C-6500, Chicago, IL 60640-5759 | 2005-06-11 |
| 1881200368 | Chandan Singh Sapkota | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-09-19 |
| 1538771316 | Ayesha Saleem | Student in an Organized Health Care Education/Training Program | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-21 |
| 1831701978 | Allina Ghimire | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-19 |
| 1154932291 | Ayomide Ireti Sotomi-foluso | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-12 |
| 1427669860 | Yadana Oo | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-10 |
| 1467062190 | Seyma Eroglu | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-07 |
| 1003426743 | Carlos Andres Rueda Mantilla | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-07 |
| 1609486968 | Ahmet Ersin Yassa | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-03 |
| 1861000630 | Mustafa Ali Samejo | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| 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 |
|---|---|---|---|---|
| 1639797525 | Crna Stat Inc | Nurse Anesthetist, Certified Registered | 4534 S Lake Park Ave, Chicago, IL 60653-4510 | 2020-07-08 |
| 1508480153 | Scott Allsup | Nurse Anesthetist, Certified Registered | 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 | 2020-05-29 |
| 1194352286 | Decelle Jewel Manuel Enriquez | Nurse Anesthetist, Certified Registered | 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 | 2020-03-26 |
| 1689130247 | Sheri Rylko | Nurse Anesthetist, Certified Registered | 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 | 2019-02-19 |
| 1265939623 | Gaelle Name Pierre | Nurse Anesthetist, Certified Registered | 1740 W Taylor St, Chicago, Il 60612, Chicago, IL 60612 | 2018-04-11 |
| 1669910741 | Joan Kircher | Nurse Anesthetist, Certified Registered | 910 W Huron St Unit 1405, Chicago, IL 60642-5980 | 2017-02-08 |
| 1841742475 | Minnie Cherlin Zhou | Nurse Anesthetist, Certified Registered | 1740 W. Taylor Street, 3200 W. U of Illinois Hospital, Department of Anesthesiology, Mc515, Chicago, IL 60612 | 2016-10-31 |
| 1285189274 | Mishawna Bohner | Nurse Anesthetist, Certified Registered | 4907 N Washtenaw Ave, Apt 3, Chicago, IL 60625-2793 | 2016-08-18 |
| 1013378280 | Dawn J Cook | Nurse Anesthetist, Certified Registered | 2626 N Lakeview Ave Apt 1409, Chicago, IL 60614-1812 | 2016-03-15 |
| 1912375635 | Laurie Conavay | Nurse Anesthetist, Certified Registered | 1740 W. Taylor St., Department of Anesthesia Suite 3200, Chicago, IL 60612 | 2015-09-11 |
| Find all providers in CHICAGO | ||||
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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.