Northside Anesthesia, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NORTHSIDE ANESTHESIA, LLC

Practice address

9315 Ridgeway Ave
Evanston, IL 60203-1308

Phone

(773) 383-0776

Fax

(847) 859-5852

NPI assigned

Sep 26, 2010

Organization subpart

No

Name

Mrs. Heather Forster, CRNANPI 1396759551

Title

Head Crna

Phone

(773) 383-0776

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

• Heather L. Forster, CRNA

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
  • NPI 1396759551

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Eden Horigan

  • Certified Registered Nurse Anesthetist
  • Lindenhurst, IL
  • NPI 1497725451

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2016.

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1740599752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 RIDGEWAY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031308",
            "telephone_number": "773-383-0776",
            "fax_number": "847-859-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 RIDGEWAY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031308",
            "telephone_number": "773-383-0776",
            "fax_number": "847-859-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-26",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "HEAD CRNA",
        "authorized_official_telephone_number": "773-383-0776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northshore Psychological Services, LLC
• Northshore University Healthsystem
• Northshore University Healthsystem Faculty Practice Associates
• Northshore University Healthsystem Faculty Practice Associates
• Northshore University Healthsystem Faculty Practice Associates
• Northwestern Medical Faculty Foundation
• Northwestern Medical Faculty Foundation
• Northwestern University
• Northwestern University
• Northwestern University Audiology Clinic

• All providers in Evanston, IL
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.