CORY DANIEL OTT (NPI# 1952940306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952940306 |
| Entity Type | Individual |
| Full Name | CORY DANIEL OTT |
| Credential | CRNA |
| Practice Address |
701 W North Ave Melrose Park IL 60160-1699 |
| Mailing Address |
345 E Ohio St Apt 601 Chicago IL 60611-3972 |
| Practice Telephone | 7086813200 |
| Mailing Telephone | 8183121347 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209.020748 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 W NORTH AVE |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831170232 | Gottlieb Memorial Hospital | General Acute Care Hospital | 701 W North Ave, Melrose Park, IL 60160-1612 | 2005-11-11 |
| 1447889092 | Gottlieb Emergency Physicians LLC | Emergency Medicine | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-04-06 |
| 1851930283 | Brian Joseph Iacopelli | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-02 |
| 1164061594 | Jonathan Bickmann | Registered Nurse | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-02 |
| 1790324226 | Andrew Reichard | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-01 |
| 1235778200 | Ryan Mcguire | Occupational Therapist | 701 W North Ave, Melrose Park, IL 60160-1612 | 2019-12-23 |
| 1053962340 | Fabiola Adriana Nava-lopez | Nurse Practitioner | 701 W North Ave, Melrose Park, IL 60160-1699 | 2019-09-27 |
| 1114581741 | Julie Bartoski | Occupational Therapist | 701 W North Ave, Melrose Park, IL 60160 | 2019-04-29 |
| 1831660448 | Michael J Sit | Registered Nurse | 701 W North Ave, Melrose Park, IL 60160-1699 | 2018-12-07 |
| 1487123832 | Andrew M Christ | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1699 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| 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 |
|---|---|---|---|---|
| 1851930283 | Brian Joseph Iacopelli | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-02 |
| 1790324226 | Andrew Reichard | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-01 |
| 1487123832 | Andrew M Christ | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1699 | 2018-11-15 |
| 1407353949 | Nilam Arvindbhai Patel | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1699 | 2018-04-11 |
| 1760909287 | Samuel Ortega | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2017-08-25 |
| 1760880900 | Dana Marie Macaluso | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2014-12-19 |
| 1730427212 | Deborah E Holman | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2013-01-18 |
| 1528306008 | Petula M Sharma | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797525 | Crna Stat Inc | Nurse Anesthetist, Certified Registered | 4534 S Lake Park Ave, Chicago, IL 60653-4510 | 2020-07-08 |
| 1285258855 | Doug Brickey | Nurse Anesthetist, Certified Registered | 913 N Main St Apt 502, Rockford, IL 61103-7058 | 2020-05-30 |
| 1508480153 | Scott Allsup | Nurse Anesthetist, Certified Registered | 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 | 2020-05-29 |
| 1265051817 | Apollo Anesthesia and Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 520 Valley View Dr Ste 300, Moline, IL 61265-6152 | 2020-04-14 |
| 1194352286 | Decelle Jewel Manuel Enriquez | Nurse Anesthetist, Certified Registered | 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 | 2020-03-26 |
| 1538795398 | Marcin Cebula | Nurse Anesthetist, Certified Registered | 7519 Long Ave, Burbank, IL 60459-1362 | 2020-03-12 |
| 1376105684 | Tel Anesthesia, Ltd | Nurse Anesthetist, Certified Registered | 7 Flint Ct, Bloomington, IL 61705-8830 | 2019-07-08 |
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1689130247 | Sheri Rylko | Nurse Anesthetist, Certified Registered | 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 | 2019-02-19 |
| 1760968101 | Daniel Bermea | Nurse Anesthetist, Certified Registered | 6811 Brementowne Dr, Tinley Park, IL 60477-1605 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.