Active NPI
Donald E. Smith, CRNA
- Certified Registered Nurse Anesthetist
- Highland, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209004059
- Practice address
- 1515 Main St
Highland, IL 62249-1656 - Phone
- (619) 526-5329
- Fax
- (618) 526-2291
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 041289062 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209004059 | IL | Primary |
Addresses
Primary practice location
1515 Main St
Highland, IL 62249-1656
Mailing address
107 Crystal Gate LN
Glen Carbon, IL 62034-1134
Phone (618) 288-9867
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
- Southern Illinois University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2600
200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041289062 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Midwest Anesthesia Inc. | Past | Accepting new patients | |
| Specialists in Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1515 Main St
Highland, IL 62249
Phone (618) 651-2600
12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600
9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
dba HSHS St. Joseph's Hospital -Highland
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1285717587
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1689619280
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. Joseph's Hospital -Highland
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1215035050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CRYSTAL GATE LN",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341134",
"telephone_number": "618-288-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MAIN ST",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622491656",
"telephone_number": "619-526-5329",
"fax_number": "618-526-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DONALD",
"middle_name": "E.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-08-23",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041289062",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209004059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IL
- Semc Pathology
- Traci Ann Shafer, DT
- Shivani Sharma, MD
- Chelsey Rachelle Short, M.S. CCC-SLP
- Emalee Shubert
- Lauren Virginia Smith, PNP
- Southern Illinois Gastroenterology LLC
- Southern Obstetric & Gyneco Associates (Southern OB/GYN-Highland)
- St Josephs Hospital Breese of the Hospital Sisters of the Third Orde (Madison County Rural Health)
- St Josephs Hospital of the Hospital Sisters of the Third Order of St F
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.