SYCAMORE ANESTHESIA SERVICES, LLC (NPI# 1336209303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336209303 |
| Entity Type | Organization |
| Organization Name | SYCAMORE ANESTHESIA SERVICES, LLC |
| Practice Address |
1421 N 7th St Terre Haute IN 47807-1005 |
| Mailing Address |
Po Box 3036 Indianapolis IN 46206-3036 |
| Practice Telephone | 8122314608 |
| Practice Fax Number | 8122314675 |
| Mailing Telephone | 8122314608 |
| Mailing Fax Number | 8122314675 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | THOMAS M PENDERGAST (OWNER) |
| Authorized Official Telephone | 8122314608 |
| 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 |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200331190 | 05 |
| Street Address |
1421 N 7TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849094 | Thomas Pendergast | Anesthesiology | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2005-08-29 |
| 1578035879 | Nicholas Charles Rust | Registered Nurse | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2018-12-26 |
| 1265904718 | Breeann Higginbottom | Nurse Anesthetist, Certified Registered | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2018-12-21 |
| 1477037968 | Whitley Ann Maria Fusco | Nurse Anesthetist, Certified Registered | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2018-09-20 |
| 1073096715 | Derrianne Michelle Monteiro | Nurse Anesthetist, Certified Registered | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2018-09-10 |
| 1386158921 | Kristen Nicole Walters | Nurse Practitioner | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2017-11-17 |
| 1902341597 | Unified Anesthesia At Union Hospital | Nurse Anesthetist, Certified Registered | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2017-01-05 |
| 1093250086 | Samantha Frances Kot | Nurse Anesthetist, Certified Registered | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2016-12-29 |
| 1942757943 | Morgan Danielle Willis | Registered Nurse | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2016-09-07 |
| 1841643442 | Zachary Parish | Nurse Anesthetist, Certified Registered | 1421 N 7th St, Terre Haute, IN 47807-1005 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| 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 |
|---|---|---|---|---|
| 1942737010 | Chantelle M Allen | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-18 |
| 1356878623 | Jessica Ann Hagan | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429509 | Apollo Pain Center, LLC | Anesthesiology | 1458 S Jackson St, Frankfort, IN 46041-3315 | 2020-05-19 |
| 1215497763 | Hendricks County Hospital | Anesthesiology | 8244 E Us Highway 36 Ste 150, Avon, IN 46123-5526 | 2019-03-21 |
| 1881081552 | Aapolo Spine and Pain Management Center | Anesthesiology | 4215 N 210 E, Marion, IN 46952-6634 | 2015-04-21 |
| 1629488002 | Shaan Khan | Anesthesiology | 500 Legacy Plz W, La Porte, IN 46350-5254 | 2014-05-06 |
| 1578800561 | Complete Pain Care LLC | Anesthesiology | 10744 E Us Highway 36, Avon, IN 46123-7982 | 2013-01-10 |
| 1710282439 | Unity Healthcare, LLC | Anesthesiology | 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 | 2011-01-12 |
| 1073831160 | Shahbaz Qavi | Anesthesiology | 107 S Washington St Ste C, Kokomo, IN 46901-4601 | 2010-05-13 |
| 1750522660 | Nicolaus D Winters | Anesthesiology | 7145 E Virginia St Ste 5000, Evansville, IN 47715-9143 | 2009-03-23 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1669500229 | Advanced Pain Management Surgery,inc | Anesthesiology | 4010 W Goeller Blvd, Suite C, Columbus, IN 47201-8892 | 2007-03-02 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47807 |
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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.