Steven Thomas Matthiesen

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28212067A Issued in IN

Practice address

50820 Summit Hill CT
Shadowfax Anesthesia
Granger, IN 46530-9720

Phone

(312) 415-1137

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Cardinal Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Granger, IN
  • NPI 1134570153

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Great Lakes Anesthesia, P.C.

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1720039977

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Iceland Anesthesia Management, LLC

  • Anesthesiology Physician
  • Terre Haute, IN
  • NPI 1912578667

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Jebs Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • La Porte, IN
  • NPI 1790447761
  Medicare reassignment NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc

  • Mobile Mammography Clinic/Center
  • South Bend, IN
  • NPI 1023844693
  Medicare reassignment NPD
• Sda Consultants PLLC

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1336605500

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Stat Anesthesia Specialists LTD

  • Anesthesiology Physician
  • Saint John, IN
  • NPI 1699724781
  Medicare reassignment NPD
• United Surgeons, LLC

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1518197011
  Medicare reassignment NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Mishawaka, IN
  • NPI 1699132365

  Nurse Anesthetist, Certified Registered

  NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1841245594
  NPD
• Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
  • NPI 1992754089
  NPD

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448668800000",
    "number": "1841629441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50820 SUMMIT HILL CT",
            "address_2": "SHADOWFAX ANESTHESIA",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309720",
            "telephone_number": "312-415-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50820 SUMMIT HILL CT",
            "address_2": "SHADOWFAX ANESTHESIA",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309720",
            "telephone_number": "312-415-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIESEN",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2015-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28212067A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Koelndorfer Counseling, LLC
• Bonnie Sue Mark
• Megan Martin, DPT
• Amy Mason, M.S., CCC-SLP
• Kimberly Sue Matthews, MPT
• Erika Mayette-Draper
• Andrew Clark McAfee, M.D.
• Timothy McCray
• Cheyney Sanders McWilliams, MD
• Melissa Karasek LLC

• Certified Registered Nurse Anesthetist in Granger, IN
• Providers in Granger, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; 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.