MS. SAMIA KATHERINE ESSEDDIQI (NPI# 1417325457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417325457 |
| Entity Type | Individual |
| Full Name | MS. SAMIA KATHERINE ESSEDDIQI |
| Credential | CRNA |
| Practice Address |
8701 Broadway Merrillville IN 46410 |
| Mailing Address |
204 Mckinley St Valparaiso IN 46383-3549 |
| Practice Telephone | 2197385500 |
| Mailing Telephone | 4252100057 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28240074A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 2016003052 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Barnes Jewish Hospital Plz, Saint Louis, MO 631101003 | 3143626973 | 3143621185 |
| 600 Grant St, Gary, IN 464026001 | 2198864000 | |
| 101 E 87th Ave, Merrillville, IN 464107335 | 2197385500 |
| Street Address |
8701 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124777 | Gregory S Gordon | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-12 |
| 1013520832 | John Doss | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-08-31 |
| 1023620945 | Luke Elliot Stanczyk | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-08-21 |
| 1104434091 | Agnieszka Krynska-wozniak | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-16 |
| 1831707918 | Johnnie Mae Gaddy | Physical Therapy Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-15 |
| 1639797327 | Maria Cecilia Patdu Maunes | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-08 |
| 1487272175 | Anna Marie Castillo | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-08 |
| 1063073401 | Cep America LLC | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2019-06-26 |
| 1285151977 | Michelle June Lee | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2017-08-24 |
| 1578918108 | Jenee Bhuju | Internal Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1861422792 | Dennis F Johnston | Nurse Anesthetist, Certified Registered | 8701 Broadway # C-124, Merrillville, IN 46410-7035 | 2006-07-04 |
| 1316384795 | Forerunner Anesthesia Ltd | Nurse Anesthetist, Certified Registered | 8900 Broadway, Suite 100w, Merrillville, IN 46410-7040 | 2013-05-27 |
| 1932483377 | Novamed Surgery Center of Merrillville, LLC | Nurse Anesthetist, Certified Registered | 8514 Broadway, Merrillville, IN 46410-7032 | 2011-10-04 |
| 1346340460 | Walter Vlado Spasevski | Nurse Anesthetist, Certified Registered | 8701 Broadway # C-124, Merrillville, IN 46410-7035 | 2006-09-25 |
| 1962414896 | Ilija B Spasevski | Nurse Anesthetist, Certified Registered | 8701 Broadway # C-124, Merrillville, IN 46410-7035 | 2006-08-12 |
| 1497785323 | David Anthony Miles | Nurse Anesthetist, Certified Registered | 8701 Broadway # C-124, Merrillville, IN 46410-7035 | 2006-07-04 |
| 1477589273 | Jeremy S Newell | Nurse Anesthetist, Certified Registered | 8701 Broadway, Merrillville, IN 46410-7035 | 2006-06-23 |
| 1477598381 | Crisologo Rosel Gozo | Nurse Anesthetist, Certified Registered | 8701 Broadway, Merrillville, IN 46410-7035 | 2006-06-17 |
| 1679518591 | Elizabeth Fricke | Nurse Anesthetist, Certified Registered | 8701 Broadway, Merrillville, IN 46410-7035 | 2006-06-17 |
| 1669417374 | Melinda M Rayter | Nurse Anesthetist, Certified Registered | 8701 Broadway, Merrillville, IN 46410-7035 | 2006-06-17 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.