DPC Crna Group, LTD.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

DPC CRNA GROUP, LTD.

Practice address

707 N Logan Ave
Danville, IL 61832-4360

Phone

(217) 477-4794

NPI assigned

Feb 27, 2019

Last updated

Mar 14, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

DANVILLE POLYCLINIC, LTDAs reported in NPPES

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

Authorized official

Name

Leah Warren

Title

Business Manager

Phone

(217) 477-4794

Specialties & licenses 1

Addresses

Part of

Danville Polyclinic RPT

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1336606102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324360",
            "telephone_number": "217-477-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324360",
            "telephone_number": "217-477-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPC CRNA GROUP, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANVILLE POLYCLINIC, LTD",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "217-477-4794"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowell T Dizon, RRT
• Michelle Doggett
• Shannon Donnals
• Maureen Donofrio, NP
• Lauren Dougherty, CNP
• Michelle Ann Drzewiecki, PSYD
• Yiting Du, PT
• Erica S Dubois, LSW
• Nicole Duffy, BA, MHP
• Stephen Dulski, PA

• Certified Registered Nurse Anesthetist in Danville, IL
• Providers in Danville, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.