Robinson J Omotola, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Practice address

400 N Pleasant Ave
Centralia, IL 62801-3056

Phone

(618) 436-5461

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amsol Anesthetists of Illinois, PC

  • Certified Registered Nurse Anesthetist
  • Effingham, IL
  • NPI 1831257682

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Premier Anesthesia of Danville

  • Anesthesiology Physician
  • Danville, IL
  • NPI 1366517583
  NPD (past)
• Anesthesia Associates P.a.

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1114965506
  NPD (past)
• Anesthesiology Consultants of the Palm Beaches PA

  • Anesthesiology Physician
  • Wellington, FL
  • NPI 1720013287
  NPD (past)
• Lake County Anesthesia Associates PA

  • Pain Medicine (Anesthesiology) Physician
  • Leesburg, FL
  • NPI 1033163464

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Premier Anesthesia of Urbana

  dba Premier Anesthesia of Illinois

  • Anesthesiology Physician
  • Alpharetta, GA
  • NPI 1528098357

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760593131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917756",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917756",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PLEASANT AVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013056",
            "telephone_number": "618-436-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOTOLA",
        "first_name": "ROBINSON",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2030632",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G2971",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Gerald Nitz, B.A. CADC
• Destiny Norman, BA
• Robert Mitchell Norman, MD
• North Wamac SCH Dist 186
• Northland Hearing Centers Inc (All American Hearing)
• Orthopaedic Center of Southern Illinois, LTD.
• Kyniesha Overall
• Suzanne Joy Overstreet, MA CCC-SLP
• Brandi Overturf
• Mallory Owens, MSW

• Certified Registered Nurse Anesthetist in Centralia, IL
• Providers in Centralia, 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 Jul 8, 2007; 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.