John G Charbonneau (NPI# 1013903863, PAC ID# 7214061365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013903863 |
| PAC ID by PECOS | 7214061365 |
| Professional Enrollment ID | I20100811000990 |
| Full Name | John G Charbonneau |
| Organization Legal Name | MID MISSOURI ANESTHESIA CONSULTANTS PC |
| Address |
1241 W Stadium Blvd Jefferson City Medical Group Jefferson City MO 65109-6023 |
| Phone Number | 5736355264 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8224025747 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| Address | Phone | Organization |
|---|---|---|
| 1241 W Stadium Blvd, Jefferson City Medical Group, Jefferson City, MO 65109-6023 | 5736355264 | MID MISSOURI ANESTHESIA CONSULTANTS PC |
| Organization Legal Name | MID MISSOURI ANESTHESIA CONSULTANTS PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph W Lucero | Anesthesiology | Mid Missouri Anesthesia Consultants PC | 2505 Mission Dr, Jefferson City, MO 65109-9508 |
| Tassi M Womack | Certified Registered Nurse Anesthetist (crna) | Mid Missouri Anesthesia Consultants PC | 1241 W Stadium Blvd, Jefferson City Medical Group, Jefferson City, MO 65109-6023 |
| Dianna M Adkison | Anesthesiology | Mid Missouri Anesthesia Consultants PC | 1705 Christy Dr, Jefferson City, MO 65101-5195 |
| Robert B Ryder | Certified Registered Nurse Anesthetist (crna) | Mid Missouri Anesthesia Consultants PC | 1241 W Stadium Blvd, Jefferson City Medical Group, Jefferson City, MO 65109-6023 |
| Kyle Louis Bruns | Anesthesiology | Mid Missouri Anesthesia Consultants PC | 2505 Mission Dr, Jefferson City, MO 65109-9508 |
| Raymond E Schmidt Jr. | Anesthesiology | Mid Missouri Anesthesia Consultants PC | 1705 Christy Dr, Jefferson City, MO 65101-5195 |
| Sandra A Uhlmann | Certified Registered Nurse Anesthetist (crna) | Mid Missouri Anesthesia Consultants PC | 1241 W Stadium Blvd, Jefferson City Medical Group, Jefferson City, MO 65109-6023 |
| Street Address |
1241 W STADIUM BLVD JEFFERSON CITY MEDICAL GROUP |
| City | JEFFERSON CITY |
| State | MO |
| Zip | 65109-6023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Schneider | Pulmonary Disease | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Elliott D Roberts | Diagnostic Radiology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Allyson J Ihms | Certified Registered Nurse Anesthetist (crna) | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Zebulon E Thomeczek | Certified Registered Nurse Anesthetist (crna) | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Bonnie R Smith | Diagnostic Radiology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Shadi M Haddadin | Hematology/oncology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Indumathi R Baskar | Internal Medicine | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Deana M Berrey | Anesthesiology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Amanda L Peters | Nurse Practitioner | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Philip J Wilson | Ophthalmology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey M Koelling | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 3721 W Truman Boulevard, Jefferson City, MO 65109-0536 |
| Eric I Vogt | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Douglas A West | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Jerry J Trulson | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Michael S Severance | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Tanner W Coleman | Chiropractic | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Thomas D Robbins | Family Medicine | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Kaitlyn Belisle | Chiropractic | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
| Brian Conley | Pediatric Medicine | Ssm Regional Health Services | 3348 American Ave, Jefferson City, MO 65109-1079 |
| Find all physicians in zip 65109 | |||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JEFFERSON CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on John G Charbonneau.
| 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.