Michael I Schwab, CRNA RN
Individual provider Active NPI Certified Registered Nurse Anesthetist · Carthage, IL
NPI 1295715142 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1295715142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209005494 (IL)
- Practice address
- 402 S Adams St
Carthage, IL 62321-1600 - Phone
- (217) 357-3131
- Fax
- (217) 357-6564
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041344867 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emporia Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041344867 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209005494 | IL | Yes |
Addresses
Primary practice location
402 S Adams St
Carthage, IL 62321-1600
Mailing address
PO Box 160
Carthage, IL 62321-0160
Phone (217) 357-3131
Other providers in Carthage, IL
- Quincy Physicians & Surgeons Clinic, PLLC
- Tiffany Roller
- Katherine Ruebush
- Mollie Rachelle Sanchez
- Deborah Bell Schuster
- Kariann Seltzer
- Nileshwa Shanmuganathan Senthe
- Louis G. Sisto
- Bobbi Skinner
- Tiffany Smith
All providers in Carthage, 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 Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.