NPIMap

Organization Active NPI

Equanimity Anesthesia Services, Professional Corporation

  • Certified Registered Nurse Anesthetist
  • Bloomington, IL
National Provider Identifier
1821843418
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
EQUANIMITY ANESTHESIA SERVICES, PROFESSIONAL CORPORATION
Practice address
11 Ann Arbor CT
Bloomington, IL 61705-8807
Phone
(312) 388-4440
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Mr. Thomas Eric Laver, CRNA
Title
President
Phone
(312) 388-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

11 Ann Arbor CT
Bloomington, IL 61705-8807

Mailing address

11 Ann Arbor CT
Bloomington, IL 61705-8807
Phone (312) 388-4440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1821843418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ANN ARBOR CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617058807",
            "telephone_number": "312-388-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ANN ARBOR CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617058807",
            "telephone_number": "312-388-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUANIMITY ANESTHESIA SERVICES, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "LAVER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-388-4440",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.