CANCAN MA (NPI# 1811236904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811236904 |
| Entity Type | Individual |
| Full Name | CANCAN MA |
| Credential | CRNA |
| Practice Address |
301 Madison St Suite 306 Joliet IL 60435-6549 |
| Mailing Address |
Po Box 936 Bedford Park IL 60499-0936 |
| Practice Telephone | 7083261637 |
| Mailing Telephone | 7083261637 |
| Mailing Fax Number | 7083261671 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209010155 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 MADISON ST SUITE 306 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477511863 | Woo Chan Kim | Anesthesiology | 301 Madison St, Joliet, IL 60435-6557 | 2006-05-03 |
| 1194355685 | Jerry Shelby | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2020-01-23 |
| 1982246229 | Jennifer Thompson | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2019-10-08 |
| 1073067583 | Annette Bennett-otto | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2016-08-12 |
| 1891140554 | Eleanor Harward | Physician Assistant | 301 Madison St, Suite 280, Joliet, IL 60435-6549 | 2016-05-02 |
| 1477918613 | Sheryl Burcenski | Nurse Practitioner | 301 Madison St, Suite 300, Joliet, IL 60435-6549 | 2015-12-15 |
| 1356716989 | Kelly Morris | Nurse Practitioner | 301 Madison St, Suite 300, Joliet, IL 60435 | 2015-12-08 |
| 1659740033 | Presence Hospitals Prv | Pediatrics | 301 Madison St, Suite 302, Joliet, IL 60435-6549 | 2015-09-16 |
| 1467859454 | Amanda Rae Benjamin | Nurse Practitioner | 301 Madison St, #300, Joliet, IL 60435-6549 | 2014-11-19 |
| 1568861094 | Laurel K. Alexander | Registered Nurse | 301 Madison St, Suite 207, Joliet, IL 60435-6549 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1194378984 | Cara Murphy | Nurse Anesthetist, Certified Registered | 333 Madison St, Joliet, IL 60435-8200 | 2019-07-20 |
| 1649632829 | Katherine Niemczura | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2016-03-25 |
| 1558722835 | Todd Langellier | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2016-03-14 |
| 1346616133 | Ed Allen Roska | Nurse Anesthetist, Certified Registered | 333 Madison St, Joliet, IL 60435-8200 | 2015-08-15 |
| 1427439603 | Bradley James Solinsky | Nurse Anesthetist, Certified Registered | 333 Madison St, Joliet, IL 60435-8200 | 2015-06-14 |
| 1679978860 | Kristen Suzanne Brooks | Nurse Anesthetist, Certified Registered | 333 Madison St, Joliet, IL 60435-8200 | 2014-10-30 |
| 1114264462 | Jeffrey J. Ryan | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2013-01-07 |
| 1376887299 | Kelly L Radford | Nurse Anesthetist, Certified Registered | 301 Madison St, Suite 306, Joliet, IL 60435-6549 | 2012-11-15 |
| 1568741221 | Kristine M Caldwell | Nurse Anesthetist, Certified Registered | 301 Madison St, 306, Joliet, IL 60435-6549 | 2011-08-12 |
| 1053619577 | Shari Marie Jordan | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2011-03-08 |
| Find all providers in JOLIET | ||||
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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.