SAINT JAMES HOSPITAL (NPI# 1790735421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790735421 |
| Entity Type | Organization |
| Organization Name | SAINT JAMES HOSPITAL |
| Other Organization Name | SAINT JAMES HOSPITAL - MULTIPLE HOSPITAL DEPARTMENTS |
| Practice Address |
2500 W Reynolds St Pontiac IL 61764-9774 |
| Practice Telephone | 8158422828 |
| Practice Fax Number | 8158424912 |
| Mailing Telephone | 8158422828 |
| Mailing Fax Number | 8158424912 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DAVE T. OCHS (CEO) |
| Authorized Official Telephone | 8158422828 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSF HEALTHCARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 00121 | 01 |
| Other Name | Type Code |
|---|---|
| Saint James Hospital - Multiple Hospital Departments | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790712701 | Saint James Hospital | Nurse Practitioner | 105 W. Hack St., Cullom, IL 60929 | 2006-06-26 |
| 1609803618 | Saint James Hospital | Nurse Practitioner | 416 E. Locust Street, Chatsworth, IL 60921 | 2006-06-26 |
| 1578508669 | Saint James Hospital | Nurse Practitioner | 918 Lincoln St, Chenoa, IL 61726-1283 | 2006-06-20 |
| 1013950989 | Saint James Hospital | Home Health | 608 N Ladd St, Pontiac, IL 61764-1617 | 2006-06-14 |
| 1801904578 | Saint James Hospital | General Acute Care Hospital | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-08-25 |
| 1114958667 | Saint James Hospital | Hospice Care, Community Based | 608 N Ladd St, Pontiac, IL 61764-1617 | 2006-07-05 |
| 1699722983 | Saint James Hospital | Obstetrics & Gynecology | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-05-30 |
| 1407808090 | Saint James Hospital | General Acute Care Hospital | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-05-16 |
| 1023060613 | Saint James Hospital | Medicare Defined Swing Bed Unit | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT JAMES HOSPITAL | 3510 Park Pl W Ste 200, Mishawaka, IN 46545-3515 |
| Street Address |
2500 W REYNOLDS ST |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421660 | Emily Ruff | Occupational Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2020-09-10 |
| 1760012637 | Stacey M Merrill | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9784 | 2020-01-20 |
| 1699325514 | Brittany Nicole Bursott | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-09-12 |
| 1912561960 | Tessa Claire Hayes | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-04-25 |
| 1346708435 | Karissa Ann Neihouser | Physical Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-03-07 |
| 1659848612 | Melissa Horning | Specialist/Technologist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-10-29 |
| 1497221840 | Allison Lynn Perkins | Occupational Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-10-23 |
| 1255818258 | Justin Ray Hayes | Registered Nurse | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-07-23 |
| 1083104137 | Nicole M. Jack | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764 | 2018-05-15 |
| 1154828440 | Lorrie R. Harmon | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| 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 |
|---|---|---|---|---|
| 1184987570 | University Anesthesia Services LLC | Anesthesiology | 44555 Woodward Ave Ste 308, St. Joseph Mercy Oakland-anesthesiology, Pontiac, MI 48341-5031 | 2012-06-20 |
| 1790877272 | Pontiac Anesthesia Care Associates, Pllc | Anesthesiology | 50 N. Perry Street, Pontiac, MI 48342 | 2006-09-29 |
| 1093331241 | Paul Young Mah | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1912566423 | Sarah B Mccalley | Anesthesiology | 44405 Woodward Ave # H23, Pontiac, MI 48341-5023 | 2019-06-08 |
| 1639737703 | Ivi Latifi | Anesthesiology | 44405 Woodward Ave # H23, Pontiac, MI 48341-5023 | 2019-06-03 |
| 1548753437 | Samuel Eis | Anesthesiology | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-14 |
| 1649799669 | Pgh Medical Group PC | Anesthesiology | 461 W Huron St, Pontiac, MI 48341-1601 | 2017-09-11 |
| 1437683281 | Andrew Scot Resnick | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-04-19 |
| 1689108615 | Peter Paik | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-04-17 |
| 1629502992 | Michael Chait | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-04-13 |
| Find all providers in PONTIAC | ||||
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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.