PHARES MONDO (NPI# 1720408834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720408834 |
| Entity Type | Individual |
| Full Name | PHARES MONDO |
| Credential | CRNA |
| Practice Address |
3701 Doty Rd Woodstock IL 60098-7509 |
| Mailing Address |
520 E 22nd St Lombard IL 60148-6110 |
| Practice Telephone | 8153433170 |
| Practice Fax Number | 6308742642 |
| Mailing Telephone | 6309609222 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209011387 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3701 DOTY RD |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-7509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794681 | Thomas Peeters | Emergency Medicine | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-07-14 |
| 1962036921 | Northern Illinois Medical Center | Clinic/Center | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2020-02-28 |
| 1568024982 | Kyle Joseph Saunders | Counselor | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2019-07-05 |
| 1962990309 | Ravi Khapekar | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2018-05-01 |
| 1982137337 | Maria Prusha | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2017-04-04 |
| 1699220525 | Grazyna Kostecki | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-08-21 |
| 1164871836 | Megan Garcia | Behavioral Analyst | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-06-03 |
| 1164876967 | Nicholas K Ventocilla | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-04-18 |
| 1225498660 | Kimberly Anne Saathoff | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-02-27 |
| 1124486790 | Angela K Astleford | Nurse Practitioner | 3701 Doty Rd, Woodstock, IL 60098 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| 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 |
|---|---|---|---|---|
| 1154868412 | Kyle Winters Calhoun | Nurse Anesthetist, Certified Registered | 202 Ashland Dr, Woodstock, GA 30189-7160 | 2017-01-25 |
| 1386920700 | Rhonda L Vaughn | Nurse Anesthetist, Certified Registered | 229 Stone Park Dr, Woodstock, GA 30188 | 2011-10-31 |
| 1548465982 | Phillip Thornton Durst | Nurse Anesthetist, Certified Registered | 1022 Wellesley Crest Dr, Woodstock, GA 30189-6710 | 2007-06-17 |
| 1679679013 | Rest Assured, P.a. | Nurse Anesthetist, Certified Registered | 11010 Doxberry Cir, Woodstock, MD 21163-1499 | 2006-09-15 |
| 1629054036 | Stephen F Palmerton | Nurse Anesthetist, Certified Registered | 759 South Main Street, Woodstock, VA 22664 | 2005-12-16 |
| 1962990309 | Ravi Khapekar | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2018-05-01 |
| 1164876967 | Nicholas K Ventocilla | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-04-18 |
| 1255689188 | Adeniyi C Ademoyo | Nurse Anesthetist, Certified Registered | 3701 Doty Road, Woodstock, IL 60098 | 2012-08-27 |
| 1588803605 | Scott S Felt | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Attn: Anesthesia, Woodstock, IL 60098-7509 | 2009-02-12 |
| 1811157696 | Leslie Burson | Nurse Anesthetist, Certified Registered | 2001 Professional Way, Woodstock, GA 30188-6442 | 2008-06-14 |
| Find all providers in WOODSTOCK | ||||
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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.