MRS. MARY SPENCER


Address: 1400 W Park St, Urbana, IL 61801
Phone: 2173372000

MRS. MARY SPENCER (NPI# 1598189110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598189110
Entity Type Individual
Full Name MRS. MARY SPENCER
Other Name MISS MARY WENDT
Credential CRNA
Practice Address 1400 W Park St
Urbana
IL 61801
Mailing Address 11755 N 1900th St
Teutopolis
IL 62467-4029
Practice Telephone 2173372000
Mailing Telephone 2178219013
Enumeration Date 2014-02-18
Last Update Date 2018-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 209011287 IL Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 041362764 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 209011287 05

Other Providers MARY SPENCER

NPI Name Taxonomy Address Enumeration
1073966735 Mary Spencer Nurse Practitioner 8061 Springfield Rd, Glenn Dale, MD 20769-9605 2016-07-18
1770981771 Mary Elizabeth Spencer Specialist/Technologist 5038 S Hardy Dr, Apt 2107, Tempe, AZ 85282-6626 2014-12-08
1619980497 Mary Ellen Spencer Counselor 2220 Highway 35 N, Suite 240, Rockport, TX 78382-3312 2006-08-14
1497782619 Mary Ann Spencer Optometrist 231 New Boston Rd, Fall River, MA 02720-5563 2006-06-26
1194721381 Mary J Spencer Pediatrics 910 E Ohio Ave, Ste 103, Escondido, CA 92025-3439 2005-06-22
1376193441 Mary Elizabeth Spencer Acupuncturist 386 Stanley St, Fall River, MA 02720-6009 2019-09-19
1013460807 Mary Spencer Occupational Therapist 207 W Jackson St, Ridgeland, MS 39157-2355 2016-07-27
1184005407 Mary K Spencer Dietitian, Registered 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 2015-06-11
1467703413 Mary Spencer Counselor 912 W Mitchell St, Arlington, TX 76013-2537 2012-09-29
1346496148 Mary L Spencer Anesthesiologist Assistant 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 2008-08-12

Office Location

Street Address 1400 W PARK ST
City URBANA
State IL
Zip Code 61801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801862461 Shamim Sadiq Internal Medicine 1400 W Park St, Urbana, IL 61801-2334 2006-02-24
1548873938 Audra Leigh Cisna Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-08-26
1689200750 Holly Tompkins Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-03-20
1417419045 Latifa Omran Technician/Technologist 1400 W Park St, Urbana, IL 61801-2334 2019-04-02
1588134084 Lauren Dowd Dietitian, Registered 1400 W Park St, Urbana, IL 61801 2018-11-28
1053801514 Sarah Kristine Farison Speech-Language Pathologist 1400 W Park St, Urbana, IL 61801-2334 2018-05-10
1316437882 Tian Lan Physical Therapist 1400 W Park St, Urbana, IL 61801-2334 2018-05-10
1659884476 Osf Healthcare System General Acute Care Hospital 1400 W Park St, Urbana, IL 61801 2017-11-15
1093228835 Osf Healthcare System Ambulance 1400 W Park St, Urbana, IL 61801 2017-11-15
1649783473 Osf Healthcare System General Acute Care Hospital 1400 W Park St, Urbana, IL 61801 2017-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566084 Avani Sushilkumar Mohta Internal Medicine Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2020-07-29
1922617133 Recovery Concepts Urbana, LLC Clinic/Center 710 W. Killarney St., Urbana, IL 61801 2020-07-24
1447877089 Muhammad Khalid Abbas Internal Medicine 611 W Park St Urbana, Urbana, IL 61801 2020-06-30
1003430166 Conlan Joseph Pierce Surgery 601 W Park St, Urbana, IL 61801 2020-06-04
1568090900 Luke Andrew Fenlon Student in an Organized Health Care Education/Training Program Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 2020-03-31
1912559691 Ali Baltaji Internal Medicine 101 N Busey Apt 7, Urbana, IL 61801 2019-07-12
1821510918 Pallavi Pradeep Internal Medicine Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 2017-07-11
1093236002 Angela Lynn Devaney Speech-Language Pathologist 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 2017-06-29
1346775236 Jennifer Garcia Student in an Organized Health Care Education/Training Program Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2017-04-27
1467992537 Amber Kristine Davis Speech-Language Pathologist 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 2017-03-08
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700831740 Kimberly A Crosland Nurse Anesthetist, Certified Registered 3823 Kendall Dr, Urbana, MD 21704-7884 2006-05-24
1417583501 Kristopher D Deters Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2020-03-20
1790318707 Brandi Dawson Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2020-02-18
1003478942 Minwoo Kim Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2019-07-01
1942764501 Devon N Little Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2019-01-29
1841795374 Carolyn Rigsby Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2018-03-27
1467960104 David M Frazier Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2018-01-16
1639686835 Sarah L Reising Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2018-01-09
1760993729 Maureen E Mcilhany Nurse Anesthetist, Certified Registered 611 W Park St, Urbana, IL 61801-2529 2017-10-18
1912430703 Rahul Sinha Nurse Anesthetist, Certified Registered 611 W Park St, Anesthesiology, Urbana, IL 61801-2529 2017-04-07
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City URBANA
Zip Code 61801

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Dataset Information

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.

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