DR. BRETT A. WURTH (NPI# 1528024254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528024254 |
| Entity Type | Individual |
| Full Name | DR. BRETT A. WURTH |
| Credential | M.D. |
| Practice Address |
Memorial Medical Ctr 701 N 1st Street Springfield IL 62781-0001 |
| Mailing Address |
701 N 1st St Springfield IL 62781-0001 |
| Practice Telephone | 2177885495 |
| Practice Fax Number | 2177885496 |
| Mailing Telephone | 2177885495 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036114802 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036114802 | 05 | |
| IL | BC OF IL | 036114802 | 01 |
| Street Address |
MEMORIAL MEDICAL CTR 701 N 1ST STREET |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558324905 | Michael J Castro | Pathology | Memorial Medical Ctr, 701 North 1st Street, Springfield, IL 62781-0001 | 2006-04-07 |
| 1861842007 | Elizabeth Mattes Nielsen | Internal Medicine | Memorial Medical Ctr, 701 N First Street, Springfield, IL 62781-0001 | 2016-06-19 |
| 1568637874 | Christine Paradee | Clinical Neuropsychologist | Memorial Medical Ctr, 701 N. 1st, Springfield, IL 62781-0001 | 2008-04-28 |
| 1093989212 | Junaid Baqai | Pathology | Memorial Medical Ctr, 701 North First Street, Springfield, IL 62781-0001 | 2008-04-18 |
| 1255478244 | Dawn M Lucasey | Physical Therapist | Memorial Medical Ctr, 701 North First Street, Springfield, IL 62781-0001 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1992187934 | Kelli Levek | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2015-06-26 |
| 1386048502 | Bhadreshkumar R. Mandani | Family Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-10-17 |
| 1801215231 | Robert Matthew Tennill | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-04-14 |
| 1851739684 | Mateusz Serafin | Hospitalist | 701 N 1st St, Springfield, IL 62781 | 2013-06-14 |
| 1538506357 | Sapna Siddharth | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-06-03 |
| 1336586734 | Rakshit Ramanath Shetty | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-05-28 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1780039420 | Apex Anesthesia Associates LLC | Anesthesiology | 65 Springfield Ave, 1st Floor, Springfield, NJ 07081-1308 | 2016-05-02 |
| 1871992792 | Queen City Anesthesia Group, LLC | Anesthesiology | 3901 S Fremont Ave, Springfield, MO 65804-6538 | 2014-08-15 |
| 1588009492 | Donald Walter Claeys | Anesthesiology | 34454 Mckenzie View Dr, Springfield, OR 97478-9738 | 2013-05-06 |
| 1225268204 | Nandakumar Ponnusamy | Anesthesiology | Bay State Medical Ctr, 759 Chestnut Street, Springfield, MA 01199-0001 | 2009-07-23 |
| 1346498136 | Deborah Lynne Wirsing | Anesthesiology | 939 Harlow Rd Ste 110, Springfield, OR 97477-1190 | 2008-09-04 |
| 1346391778 | Gregg Joseph Salathe | Anesthesiology | 5173 S Virginia Ave, Springfield, MO 65810-2863 | 2007-01-14 |
| 1891887048 | Kamel Abraham | Anesthesiology | 1117 E Home Rd, Springfield, OH 45503-2725 | 2006-09-28 |
| 1700990603 | Florence E Odutola | Anesthesiology | Mercy Medical Ctr, 271 Carew Street, Springfield, MA 01104 | 2006-08-18 |
| 1679503437 | Michael E. Mehrer | Anesthesiology | 3801 S. National, Springfield, MO 65807 | 2006-07-04 |
| 1275508574 | Charles Milton Cook | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
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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.