Ryan Deushane, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Canton, IL
NPI 1124482252 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1124482252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209.014083 (IL)
- Practice address
- 210 W Walnut St
Canton, IL 61520 - Phone
- (309) 339-8414
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graham Hospital Association
Osf Multi-Specialty Group
Practice addresses (Care Compare)
210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
Hospital & facility affiliations
- Graham Hospital Association
- Graham Hospital Association
- St Mary Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620001938 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345531497 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.014083 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, S.C. | Current |
Accepting new patients | |
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| Graham Hospital Association | Current |
Accepting new patients | |
| Associated Anesthesiologists, SC | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Osf Healthcare System | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Allied Anesthesia Associates, P.C. | Current |
Accepting new patients | |
| Osf Healthcare System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Graham Hospital Association | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients |
Locations
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240
175 S Main St
Canton, IL 61520
Phone (309) 647-3937
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.014083 | IL | Yes |
Addresses
Primary practice location
210 W Walnut St
Canton, IL 61520
Mailing address
210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240
Other providers in Canton, IL
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- Gerri Delost
- Christina Dawn Denning
- Gregory Lee Derry
- Dialysis Centers of America - Illinois, Inc.
- Jenna Dively
- Jacey L Downing
- Dr. Gregory Lee Derry D.D.S. LTD
- Kristin Driskell
All providers in Canton, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.