Active NPI
Thomas Eric Laver, CRNA
- Certified Registered Nurse Anesthetist
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209006954
- Practice address
- 11 Ann Arbor CT
Bloomington, IL 61705-8807 - Phone
- (312) 388-4440
- NPI assigned
- Jan 23, 2008
- Reactivated
- May 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209006954 | IL | Primary |
Addresses
Primary practice location
11 Ann Arbor CT
Bloomington, IL 61705-8807
Mailing address
11 Ann Arbor CT
Bloomington, IL 61705-8807
Phone (312) 388-4440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 N Arlington Heights Rd
Itasca, IL 60143-3108
Phone (630) 833-9621
2041 W Division St
Chicago, IL 60622-8521
Phone (312) 624-8364
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006954 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Medical Specialist Inc | Current | Accepting new patients | |
| The Pain Center of Illinois Inc. | Current | Accepting new patients | |
| Aurora Professional Anesthesia Service PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premiere Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Health Anesthetists | Past | Accepting new patients | |
| Priority Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lighthouse Anesthesia LLC | Past | Accepting new patients | |
| Anesthesia Associates of Savannah ,PA | Past | Accepting new patients |
Locations
1100 W Central Rd
Ste 102
Arlington Hts, IL 60005
Phone (847) 259-3080
39 S Virginia St
Crystal Lake, IL 60014
Phone (773) 321-2681
3100 W Higgins Rd
Ste 150
Hoffman Estates, IL 60169
Phone (847) 885-9525
1300 N Arlington Heights Rd
Itasca, IL 60143
Phone (630) 833-9621
230 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 367-8815
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1033455118
-
- Certified Registered Nurse Anesthetist
- Park Ridge, IL
- NPI 1720467392
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Woodridge, IL
- NPI 1558495598
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1053588079
-
- Anesthesiology Physician
- Park Ridge, IL
- NPI 1285174557
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487663688
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1306036561
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1770664617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1124205034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ANN ARBOR CT",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617058807",
"telephone_number": "312-388-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ANN ARBOR CT",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617058807",
"telephone_number": "312-388-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVER",
"first_name": "THOMAS",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"deactivation_date": "2022-06-21",
"reactivation_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209006954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.