Active NPI
Steven W Etcheson, CRNA
- Certified Registered Nurse Anesthetist
- Urbana, IL
National Provider Identifier
1679799241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209001440
- Practice address
- 602 W. University Avenue
Anesthesiology
Urbana, IL 61801 - Phone
- (217) 383-3141
- Fax
- (217) 383-3265
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209001440 | IL | Primary |
Addresses
Primary practice location
602 W. University Avenue
Anesthesiology
Urbana, IL 61801
Mailing address
P.O. Box 6002
Urbana, IL 61803-6002
Phone (217) 326-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6447860011 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Past | Accepting new patients | |
| Premier Anesthesia of Urbana | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Medical-Surgical Registered Nurse
- Hoopeston, IL
- NPI 1457422164
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Anesthesiology Physician
- Alpharetta, GA
- NPI 1528098357
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1679799241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6002",
"city": "URBANA",
"state": "IL",
"postal_code": "618036002",
"telephone_number": "217-326-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W. UNIVERSITY AVENUE",
"address_2": "ANESTHESIOLOGY",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-383-3141",
"fax_number": "217-383-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETCHESON",
"first_name": "STEVEN",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209001440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6447860011",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.