Resolute Anesthesia Illinois SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

RESOLUTE ANESTHESIA ILLINOIS SC

Practice address

501 Hamacher St
Waterloo, IL 62298-1568

Phone

(908) 653-9399

Fax

(908) 653-9305

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Karen Vaughn

Title

Officer

Phone

(954) 838-2371

Specialties & licenses 2

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Margate, FL
  • NPI 1215509757

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gilbert L. Drozdow, MD

  • Anesthesiology Physician
  • Sunrise, FL
  • NPI 1255305181
  NPD (past)

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1245661560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744130",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HAMACHER ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981568",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE ANESTHESIA ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rai Care Centers of Illinois II, LLC
• Cheryl Rayot-Tannous, DC
• Red Bud Regional Clinic Company LLC
• William R Reilly, M.D.
• Mary Jo Renzaglia-Weir
• Brooke Rey, MOT, OTR/L
• Chelsea Rheinecker, LPN, MHP
• Natalie Ribaudo, MHP
• Anna Marie Rice, OTR
• Derrick L Richard, DMD

• Anesthesiology Physician in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.