Individual provider Active NPI

Tayoh Jonathan Valdez, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, IL
National Provider Identifier
1861900490
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209028326 Issued in IL
Practice address
701 N 1St St
Springfield, IL 62781-4309
Phone
(217) 788-3000
NPI assigned
Jan 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024175735 VA
Certified Registered Nurse Anesthetist 367500000X 209028326 IL Primary

Addresses

Primary practice location

701 N 1St St
Springfield, IL 62781-4309

Mailing address

701 N 1St St Anesthesia Department
Springfield, IL 62781-0001
Phone (217) 788-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180524002302 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234494170 Reassigns benefits to 7 organizations
I20231121002512 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234494170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Crnas IncGroup PAC ID 2961681523, 17 clinicians

Practice addresses (Care Compare)

1600 W Walnut
Jacksonville, IL 62650-1199
Phone (217) 245-9541

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209028326ILMDCertified Registered Nurse Anesthetist
0024175735VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2021 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Sep 1, 2022 Accepting new patients
Goodwin & Snyder Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Bayview Physician Services, PC CurrentSince Nov 16, 2021 Accepting new patients
Capital Digestive Care LLC CurrentSince Mar 21, 2022 Accepting new patients
Memorial Medical Center Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2023 Accepting new patients
Bayview Physician Services, PC CurrentSince Nov 16, 2021 Accepting new patients
Jacksonville Crnas Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2024 Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Sep 1, 2022 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Nov 1, 2022 Accepting new patients
Capital Digestive Care, LLC CurrentSince Mar 21, 2022 Accepting new patients
Memorial Medical Center CurrentSince Nov 13, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jun 28, 2021 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

400 10th St E
Waconia, MN 55387

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

113 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 436-3285

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

885 Kempsville Rd
Ste 114
Norfolk, VA 23502
Phone (757) 466-0165

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

20480 Market St
Onancock, VA 23417
Phone (757) 302-2100

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone 7574836100 ext. 208

2000 Meade Pkwy
Ste 195
Suffolk, VA 23434

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771

Interoperability endpoints

  • FHIR API: https://b9dda605-4d4e-4319-b477-73b223ba7709.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1861900490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST ANESTHESIA DEPARTMENT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627814309",
            "telephone_number": "217-788-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "TAYOH",
        "middle_name": "JONATHAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024175735",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209028326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.