Alicia R Blankendaal (NPI# 1033449210, PAC ID# 2062549553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1033449210 |
| PAC ID by PECOS | 2062549553 |
| Professional Enrollment ID | I20160127001134 |
| Full Name | Alicia R Blankendaal |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC |
| Address |
1201 Pleasant Valley Rd Owensboro KY 42303-9811 |
| Phone Number | 2704172000 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8628248069 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180038 | OWENSBORO HEALTH REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2704172000 | NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Ann Atherton | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Steven Hallman | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Lillian Silva | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Myra F Mardis | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Joseph K Hampton | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Lisa A Scheller | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Daniel A Ogaz | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Loman Collin Trover | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Rauf Murtaza | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Michael Rudolph | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Street Address |
1201 PLEASANT VALLEY RD |
| City | OWENSBORO |
| State | KY |
| Zip | 42303-9811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Knight | Emergency Medicine | Owl Emergency Physicians LLC | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Roshan Mathew | Interventional Cardiology | Owensboro Health Medical Group Inc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Colby P Dorroh | Emergency Medicine | Owl Emergency Physicians LLC | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Joseph K Hampton | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| David J Johnson | Internal Medicine | Owensboro Health Medical Group Inc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Rita A Fleming | Obstetrics/gynecology | Obhg Kentucky Psc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Jennifer B Catlett | Obstetrics/gynecology | Obhg Kentucky Psc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Lisa A Scheller | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| William C Harrison | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9619 |
| Alexandra V Bequer | Emergency Medicine | Owl Emergency Physicians LLC | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason G Lee | Interventional Pain Management | Owensboro Health Medical Group Inc | 1000 Breckenridge St, Owensboro, KY 42303-0839 |
| James Tidwell Iii | Plastic and Reconstructive Surgery | Owensboro Health Medical Group Inc | 1000 Breckenridge St, Owensboro, KY 42303-0839 |
| Steven Hallman | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Loman Collin Trover | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Michael Rudolph | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Keith D Thomas | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Haley T Morris | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Linda C Geis | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Rebecca L Blair | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Sarah Stelmach | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1000 Breckenridge St, Suite 100, Owensboro, KY 42303-0840 |
| Find all physicians in zip 42303 | |||
| City | OWENSBORO |
| Zip Code | 42303 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | OWENSBORO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Alicia R Blankendaal.
| 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.