Christopher D Bourget
ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC


Address: 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Phone: 6188993869

Christopher D Bourget (NPI# 1275900656, PAC ID# 1355647934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1275900656
PAC ID by PECOS 1355647934
Professional Enrollment ID I20160308000978
Full Name Christopher D Bourget
Organization Legal Name ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC
Address 2 Good Samaritan Way
Suite 200
Mount Vernon
IL 62864-2476
Phone Number 6188993869
Gender M
Graduation Year 2015
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 0648555433
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140046 SSM HEALTH - GOOD SAMARITAN HOSPITAL

Other Locations

Address Phone Organization
400 N Pleasant Ave, Centralia, IL 62801-3056 6184368000 ST MARYS HOSPITAL CENTRALIA ILLINOIS
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 6188994600 GOOD SAMARITAN REGIONAL HEALTH CENTER
2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476 6188993869 ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC
8 Doctors Park Rd, Mount Vernon, IL 62864-6224 6188993869 ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS LLC
1201 Ricker, Salem, IL 62881-4263 6185483194 SALEM TOWNSHIP HOSPITAL

Organization Information

Organization Legal Name ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC
Physicians 16

Physicians with the same organization

Name Specialty Organization Address
Jonathan L Sorenson Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Jeanette I Ellis Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
David P Rakey Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Jennifer Irene Bourgeois Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Holly A Wilke Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Julie Ann Aulds Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Douglas L Mcdonald Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Julianna M Peters Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Courtney J Broussard Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Antoinette H Appling Anesthesiology Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476

Office Location

Street Address 2 GOOD SAMARITAN WAY
SUITE 200
City MOUNT VERNON
State IL
Zip 62864-2476

Physicians in the same location

Name Specialty Organization Address
Naresh K Ahuja General Surgery Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864-2476
David J. Huddleston Pathology Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 405, Mount Vernon, IL 62864-2478
Jonathan L Sorenson Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Loring A Barr Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Nadiene Ann Stock Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Prateek Srinet Otolaryngology Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Tyler Wishau Podiatry Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Jeanette I Ellis Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
David P Rakey Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Shaheen Riadh Alanee Urology Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Christa S Pestka Family Medicine Christopher Greater Area Rural Health Planning Corp 2920 Veterans Pkwy, Mount Vernon, IL 62864
Jacklyn Hedger Nurse Practitioner Christopher Greater Area Rural Health Planning Corp 2920 Veterans Pkwy, Mount Vernon, IL 62864
Lydia Ann Williams Psychologist, Clinical 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189
Linden R Pearson Family Medicine 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189
Kevin C Wright Diagnostic Radiology Virtual Radiologic Professionals LLC 3614 Victoria Ave, Mount Vernon, IL 62864-2208
Mark C Hurst Optometry 4 Westwood Dr, Mount Vernon, IL 62864-2212
Jennifer L Craig Optometry J Bass Ltd 112 S 42nd St, Mount Vernon, IL 62864-2243
Jennifer R Bass Optometry J Bass Ltd 112 S 42nd St, Mount Vernon, IL 62864-2243
Troy W Johnson Optometry Clarkson Optometry Illinois PC 3000 Broadway St, Mount Vernon, IL 62864-2340
Erin Hocking Ayers Optometry Marion Eye Centers Ltd 2900 Broadway St A, Mount Vernon, IL 62864-2341
Find all physicians in zip 62864

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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