Granite City Clinic Corp

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

GRANITE CITY CLINIC CORP

Doing business as

Granite City Anesthesia

Practice address

2100 Madison Ave
Granite City, IL 62040-4701

Phone

(618) 798-3000

NPI assigned

Dec 19, 2005

Last updated

Jul 30, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Newsome

Title

VP

Phone

(615) 465-7000

Specialties & licenses 2

Addresses

Other names 1

• Granite City Anesthesia Doing business as

Locations

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael C Adams, MD

  • Internal Medicine Physician
  • Granite City, IL
  • NPI 1851383301
  NPD (past)
• David C Autry, MD

  • Diagnostic Radiology Physician
  • Maryville, IL
  • NPI 1629026877
  NPD (past)
• Jason E Barnett, MD

  • Family Medicine Physician
  • Maryville, IL
  • NPI 1295728988
  NPD (past)
• Abby Marie Beedy, PA-C

  • Medical Physician Assistant
  • Maryville, IL
  • NPI 1942497037
  NPD (past)
• Neil Belanger, CRNA

  • Pain Management Registered Nurse
  • Belleville, IL
  • NPI 1922037340
  NPD (past)
• Mary Bigongiari, CRNA

  • Certified Registered Nurse Anesthetist
  • Granite City, IL
  • NPI 1598740284

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Charles G Bishop Jr., MD

  • Anesthesiology Physician
  • Glen Carbon, IL
  • NPI 1629053459
  NPD (past)
• Sandra Susan Blazek, MSW

  • Clinical Social Worker
  • Effingham, IL
  • NPI 1942721295
  NPD (past)
• Lucy Broaddus, MMS, PA-C, ATC.

  • Physician Assistant
  • O'Fallon, IL
  • NPI 1114299419
  NPD (past)
• Terry J Burk, MD

  • Diagnostic Radiology Physician
  • Maryville, IL
  • NPI 1124062757
  NPD (past)
• Elizabeth Carazo, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Mount Prospect, IL
  • NPI 1922140300
  NPD (past)
• Rick Corbett, CRNA

  • Certified Registered Nurse Anesthetist
  • Granite City, IL
  • NPI 1902881733

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1003892464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 503734",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404701",
            "telephone_number": "618-798-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite City Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glorious Beginnings Doula Services
• Erin Marie Goebel, RN PHRN
• Good Samaritan House of Granite City, Inc
• Krista L Gooding, PT
• Granite City Chiropractic LLC
• Granite City Clinic Corp
• Granite City Emergency Physicians LLC
• Granite City Eye Care, Inc. (Pearle Vision Center)
• Granite City Home Care Services, LLC (Gateway Regional Home Health, Granite City)
• Granite City Home Care Services, LLC (Gateway Regional Hospice, Granite City)

• Certified Registered Nurse Anesthetist in Granite City, IL
• Providers in Granite City, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.