IVAN LEGOAS CRNA, LLC


Address: 9002 N Meridian St, Lower Level, Indianapolis, IN 46260-5381
Phone: 5742689640

IVAN LEGOAS CRNA, LLC (NPI# 1659775740) 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) 1659775740
Entity Type Organization
Organization Name IVAN LEGOAS CRNA, LLC
Practice Address 9002 N Meridian St
Lower Level
Indianapolis
IN 46260-5381
Mailing Address Po Box 1296
Warsaw
IN 46581-1296
Practice Telephone 5742689640
Practice Fax Number 5742680684
Mailing Telephone 5742689640
Mailing Fax Number 5742680684
Enumeration Date 2014-10-17
Last Update Date 2014-10-17
Authorized Official Name IVAN LEGOAS (OWNER)
Authorized Official Telephone 5742689640
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN STATE LICENSE 28139740A 01

Office Location

Street Address 9002 N MERIDIAN ST
LOWER LEVEL
City INDIANAPOLIS
State IN
Zip Code 46260-5381

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396741393 Randall Strate Family Medicine 9002 N Meridian St, Ste 107, Indianapolis, IN 46260-5349 2005-06-23
1447602917 Dr. Sarah Small Clinical Neuropsychologist 9002 N Meridian St, Suite 200, Indianapolis, IN 46260-5381 2016-07-08
1295104883 Jane B Parker Crna LLC Nurse Anesthetist, Certified Registered 9002 N Meridian St, Indianapolis, IN 46260-5381 2015-09-24
1194131979 Meridian Adult Health PC Nurse Practitioner 9002 N Meridian St, Lower Level, Indianapolis, IN 46260-5381 2014-07-01
1720405616 American Health Network of Indiana, LLC Non-Pharmacy Dispensing Site 9002 N Meridian St, Suite 214, Indianapolis, IN 46260-5381 2014-03-28
1811327299 American Health Network of Indiana, LLC Clinical Medical Laboratory 9002 N Meridian St, Suite 214a, Indianapolis, IN 46260-5381 2013-11-20
1316389596 Jennifer Macke Johnson Pharmacist 9002 N Meridian St, Suite 213, Indianapolis, IN 46260-5381 2013-07-29
1659716769 Stephanie Lynn Levin Audiologist-Hearing Aid Fitter 9002 N Meridian St, Suite 204, Indianapolis, IN 46260-5381 2013-05-02
1164768024 Roberta Elaine Hull Pharmacist 9002 N Meridian St, Suite 213, Indianapolis, IN 46260-5381 2012-12-21
1114276896 Meghan Marie Schnellenberger Audiologist 9002 N Meridian St, Ste 222, Indianapolis, IN 46260-5350 2012-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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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
1598139784 Gloria Clampitt Nurse Anesthetist, Certified Registered 4719 Moss Creek Ct, Indianapolis, IN 46237-2940 2015-11-25
1891832754 Daniel Hayden Nurse Anesthetist, Certified Registered 7150 Clearvista Avenue, Indianapolis, IN 46256 2007-01-31
1174506042 Nancy Louise Alltop II Nurse Anesthetist, Certified Registered 1500 N. Ritter Avenue, Indianapolis, IN 46227-0963 2005-11-23
1265414965 Frederick Wickwire Nurse Anesthetist, Certified Registered 7150 Clearvista Drive, Indianapolis, IN 46256-1695 2005-11-17
1659379873 Raymond Edward Baker Nurse Anesthetist, Certified Registered 1500 N Ritter Ave, Indianapolis, IN 46219-3027 2005-07-12
1801403928 Morgan Lewis Nurse Anesthetist, Certified Registered 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2020-09-24
1336764158 Kristina A Vasnaik Nurse Anesthetist, Certified Registered 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2020-06-09
1528550241 Midwest Gastroenterology LLC Nurse Anesthetist, Certified Registered 8051 S Emerson Ave Ste 150, Indianapolis, IN 46237 2018-05-30
1295104883 Jane B Parker Crna LLC Nurse Anesthetist, Certified Registered 9002 N Meridian St, Indianapolis, IN 46260-5381 2015-09-24
1760871362 Jessica Crosby Nurse Anesthetist, Certified Registered 7150 Clearvista Dr, Indianapolis, IN 46256 2015-01-20
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City INDIANAPOLIS
Zip Code 46260

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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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