CHARLES VINCENT WOODSON (NPI# 1497792659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497792659 |
| Entity Type | Individual |
| Full Name | CHARLES VINCENT WOODSON |
| Credential | CRNA |
| Practice Address |
2920 Mcintire Drive, Suite 150 Attn: Maria Mitchell Bloomington IN 47403 |
| Mailing Address |
Po Box 5635 Attn: Maria Mitchell Bloomington IN 47407 |
| Practice Telephone | 8123375003 |
| Practice Fax Number | 8123375010 |
| Mailing Telephone | 8123375003 |
| Mailing Fax Number | 8123375010 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 28126400A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | SIA-ANTHEM | 000000386593 | 01 |
| Street Address |
2920 MCINTIRE DRIVE, SUITE 150 ATTN: MARIA MITCHELL |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| 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 |
|---|---|---|---|---|
| 1376105684 | Tel Anesthesia, Ltd | Nurse Anesthetist, Certified Registered | 7 Flint Ct, Bloomington, IL 61705-8830 | 2019-07-08 |
| 1124205034 | Thomas Eric Laver | Nurse Anesthetist, Certified Registered | 11 Ann Arbor Ct, Bloomington, IL 61705-8807 | 2008-01-23 |
| 1295701613 | Jason Richard Huber | Nurse Anesthetist, Certified Registered | 2022 E Taylor St, Bloomington, IL 61701-5716 | 2006-02-25 |
| 1144712563 | Tcom Specialty Physicians, LLC | Nurse Anesthetist, Certified Registered | 2502 E Empire St Ste B, Bloomington, IL 61704 | 2018-06-01 |
| 1952703548 | Amanda Hope Qunli Gu | Nurse Anesthetist, Certified Registered | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2014-09-25 |
| 1669805313 | Emily A Warner | Nurse Anesthetist, Certified Registered | 1505 Eastland Dr, Suite Ll1000, Bloomington, IL 61701-3534 | 2013-08-16 |
| 1629357348 | Carrie M Rodgers | Nurse Anesthetist, Certified Registered | 1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 | 2011-08-11 |
| 1306143532 | Ronald E Richardson | Nurse Anesthetist, Certified Registered | 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701-3534 | 2011-02-24 |
| 1225297484 | Julie R Heisel-wolter | Nurse Anesthetist, Certified Registered | 1505 Eastland Dr, Suite Ll 1400, Bloomington, IL 61701-3534 | 2008-06-03 |
| 1992988224 | Amsol Anesthetists of Indiana LLC | Nurse Anesthetist, Certified Registered | 4011 S Tiwari Blvd, Bloomington, IN 47403-8000 | 2007-12-10 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.