Organization Active NPI

Heartland Anesthesia Services, LTD

  • Certified Registered Nurse Anesthetist
  • Jacksonville, IL
National Provider Identifier
1508899956
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
HEARTLAND ANESTHESIA SERVICES, LTD
Practice address
120 Edlen LN
Jacksonville, IL 62650-5700
Phone
(217) 245-6515
NPI assigned
Jul 9, 2006
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Janice M Hall, CRNANPI 1720040546
Title
President
Phone
(217) 245-6515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

120 Edlen LN
Jacksonville, IL 62650-5700

Mailing address

120 Edlen LN
Jacksonville, IL 62650-5700
Phone (217) 245-6515

Other identifiers 1

IdentifierTypeStateIssuer
0006032189OtherILBCBS

National Provider Directory

National Provider Directory

Locations

405 S MacArthur Blvd
Springfield, IL 62704
Phone (217) 787-9192

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1508899956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EDLEN LN",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626505700",
            "telephone_number": "217-245-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EDLEN LN",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626505700",
            "telephone_number": "217-245-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ANESTHESIA SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-245-6515",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0006032189",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.