Active NPI
Thomas J. Cain, CRNA
- Certified Registered Nurse Anesthetist
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 249438
- Practice address
- 605 N 12TH St
Mount Vernon, IL 62864-2857 - Phone
- (618) 241-1108
- Fax
- (618) 241-3805
- NPI assigned
- Nov 7, 2007
- Last updated
- Mar 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 249438 | TX | Primary |
Addresses
Primary practice location
605 N 12TH St
Mount Vernon, IL 62864-2857
Mailing address
605 N 12TH St
Mount Vernon, IL 62864-2857
Phone (618) 241-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249438 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| Ambulatory Surgery Center of Centralia, LLC | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| Ambulatory Surgery Center of Centralia, LLC | Current | Accepting new patients |
Locations
1045 Martin Luther King Dr
Centralia, IL 62801
Phone (618) 242-3979
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 899-4000
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1043757487
Nurse Anesthetist, Certified Registered
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
dba The Surgery Center of Centralia
- Clinic/Center
- Centralia, IL
- NPI 1265495824
-
- Certified Registered Nurse Anesthetist
- Marion, IL
- NPI 1790721579
-
dba Surgery Center of Centralia
- Ambulatory Surgical Clinic/Center
- Centralia, IL
- NPI 1811957251
-
dba SSM Health St. Mary's Hospital - Centralia
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
dba SSM Health St. Mary's Hospital - Centralia
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1871773879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N 12TH ST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642857",
"telephone_number": "618-241-1108",
"fax_number": "618-241-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 N 12TH ST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642857",
"telephone_number": "618-241-1108",
"fax_number": "618-241-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "THOMAS",
"middle_name": "J.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "249438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
- Michelle Burwell, PA-C
- Patricia Claire Butler
- Byrd-Watson South 9TH Drug Co (Byrd-Watson Medical Downtown)
- Byrd-Watson Times Square Drug Co (Byrd-Watson Pharmacy LTC)
- Byrd-Watson Times Square Drug Co (Byrd-Watson Pharmacy)
- Patricia Isabel Calcetto, CRNA
- Hannah Capps, MHP
- Tiffany Capps, BSN, RN
- Caravilla Residential Centers, Inc (Mt Vernon Care Center)
- Caravilla Residential Centers, Inc (Casey Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.