Larry W Bartels, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Macomb, IL
NPI 1891849899 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891849899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Practice address
- 525 E Grant St
Macomb, IL 61455-3313 - Phone
- (309) 833-4101
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake of the Ozarks Pain Management Services, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lake Ozark Anesthesia & Associates, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | IL | Yes |
Addresses
Primary practice location
525 E Grant St
Macomb, IL 61455-3313
Mailing address
525 E Grant St
Macomb, IL 61455-3313
Phone (309) 833-4101
Other providers in Macomb, IL
- Cheryl Lynn Baker
- Edward Kirk Baker
- Leslie L Baldwin
- Angela Barker
- William G. Barnes
- Bonnie Jean Bartlett
- Julie Marie Bartlow
- Josie Lee Bauer
- Skylar Marie Beard
- Vickie Y Beard
All providers in Macomb, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.