Michael R Imperio (NPI# 1467720409, PAC ID# 8527211275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1467720409 |
| PAC ID by PECOS | 8527211275 |
| Professional Enrollment ID | I20190514000259 |
| Full Name | Michael R Imperio |
| Organization Legal Name | CARDINAL ANESTHESIA LLC |
| Address |
4455 Edison Lakes Pkwy Mishawaka IN 46545-1442 |
| Phone Number | 7182080446 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2668766254 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150177 | UNITY MEDICAL AND SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 7182080446 | CARDINAL ANESTHESIA LLC |
| Organization Legal Name | CARDINAL ANESTHESIA LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roni Aizigov | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 5507 Singer Ct, Granger, IN 46530-4481 |
| Mary P Kammann | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 |
| William D Gilmer | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 |
| Steven Thomas Matthiesen | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 5507 Singer Ct, Granger, IN 46530-4481 |
| Street Address |
4455 EDISON LAKES PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-1442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary P Kammann | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 |
| Walter D Kolmodin | Podiatry | The South Bend Clinic LLP | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 |
| Jeffrey L Niespodziany | Podiatry | The South Bend Clinic LLP | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 |
| William D Gilmer | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 |
| Opeyemi A Awe | Internal Medicine | Rural Physicians Group Pannu Pllc | 4455 Edison Lakes Pkwy, 100 Unity Medical and Surgical Hospital, Mishawaka, IN 46545-1414 |
| Jonathan M Deming | Podiatry | The South Bend Clinic LLP | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MISHAWAKA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.