NICOLE MARIE PETRUNGARO (NPI# 1407214653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407214653 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE PETRUNGARO |
| Credential | CRNA |
| Practice Address |
901 Macarthur Blvd Munster IN 46321-2901 |
| Mailing Address |
901 Macarthur Blvd. Munster IN 46321 |
| Practice Telephone | 2198361600 |
| Mailing Telephone | 2198361600 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28226848A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 MACARTHUR BLVD |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273077 | Matthew Fitzpatrick | Radiology | 901 Macarthur Blvd, Radiology Department, Munster, IN 46321-2901 | 2005-08-23 |
| 1033710561 | Jonathan Chua | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-11-02 |
| 1649879842 | John Hurley Jr. | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-10-20 |
| 1942812391 | Cathrine Roels | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-18 |
| 1396355988 | Nicole Kaminsky | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-07 |
| 1992314819 | Jennifer Biank | Registered Nurse | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-07-27 |
| 1598374704 | Amber Nicole Hudson | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-24 |
| 1700495942 | Alexa Catherine Klimek | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1437768611 | Hailey Corrinne Estes | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1154939007 | Betsy Abraham | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| 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 |
|---|---|---|---|---|
| 1275018236 | Indiana Ams LLC | Nurse Anesthetist, Certified Registered | 9200 Calumet Ave Ste 200, Munster, IN 46321-2885 | 2018-09-26 |
| 1023059086 | Marina Saldaris | Nurse Anesthetist, Certified Registered | 1508 Twelve Oaks Dr, Munster, IN 46321-2626 | 2006-06-09 |
| 1649879842 | John Hurley Jr. | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-10-20 |
| 1730627928 | Mariah Marine | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2017-02-07 |
| 1396148763 | Michelle Becka | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2014-09-30 |
| 1871855858 | Christine Marie D'amato | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2012-06-14 |
| 1871823930 | Polly Zeller | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2010-01-12 |
| 1265766380 | Jo Ann Marie Pupaloski | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Attn Anesthesia, Munster, IN 46321-2901 | 2009-09-22 |
| 1053561282 | Daniel Lee Olson | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Attn Anesthesia, Munster, IN 46321-2901 | 2008-09-24 |
| 1578719126 | Suzette M Smierciak | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Attn Anesthesia, Munster, IN 46321-2901 | 2008-08-14 |
| Find all providers in MUNSTER | ||||
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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.