Premium Anesthesia Group

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PREMIUM ANESTHESIA GROUP

Practice address

700 Pasquinelli Dr
Westmont, IL 60559-1382

Phone

(630) 323-8690

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Shari Jordan, CRNA

Title

Nurse Anesthesist

Phone

(630) 862-9756

Specialties & licenses 1

Addresses

Practitioners 1

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

• Omotayo R Oranu, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Winfield, IL
  • NPI 1629402300

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1356090526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661495",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352661495",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PASQUINELLI DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591382",
            "telephone_number": "630-323-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM ANESTHESIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "NURSE ANESTHESIST",
        "authorized_official_telephone_number": "630-862-9756",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Porcelli, MD
• Lance Porfilio, RN
• Stacy Powell, APN
• Marzena Pradziad
• Anthony J Prasnikar, OD
• Katelyn Price
• Printers Row Chiropractic, LTD
• Connor Prokop, CRNA
• Prorehab PC
• Provider Solutions Inc

• Certified Registered Nurse Anesthetist in Westmont, IL
• Providers in Westmont, 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 24, 2022; 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.