Active NPI
Neil Belanger, CRNA
- Pain Management Registered Nurse
- Belleville, IL
National Provider Identifier
1922037340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Management Registered Nurse
- Practice address
- 211 S 3Rd St
Belleville, IL 62220-1915 - Phone
- (618) 234-2120
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | IL | Primary |
Addresses
Primary practice location
211 S 3Rd St
Belleville, IL 62220-1915
Mailing address
PO Box 16068
High Point, NC 27261-6068
Phone (336) 882-4615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30398 | Other | AANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-236477 | IL | MD | Pain Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham Anesthesia South LLC | Past | Accepting new patients | |
| DM Anesthetists of Il, LLC | Past | Accepting new patients | |
| St Johns Regional Medical Center | Past | Accepting new patients | |
| Granite City Clinic Corp | Past | Accepting new patients | |
| St John'S Regional Medical Center | Past | Accepting new patients | |
| Freeman Neosho Hospital | Past | Accepting new patients | |
| Poplar Bluff Regional Medical Center LLC | Past | Accepting new patients | |
| Poplar Bluff Regional Medical Center, Inc | Past | Accepting new patients | |
| Granite City Physicians Corp | Past | Accepting new patients |
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Carbondale, IL
- NPI 1699769232
-
- Registered Nurse
- Belleville, IL
- NPI 1629020854
-
- Certified Registered Nurse Anesthetist
- Granite City, IL
- NPI 1003892464
-
- Clinical Medical Laboratory
- Granite City, IL
- NPI 1508983214
-
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
-
- Diagnostic Radiology Physician
- Poplar Bluff, MO
- NPI 1568503357
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1700032653
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1841240546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922037340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16068",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272616068",
"telephone_number": "336-882-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 3RD ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201915",
"telephone_number": "618-234-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELANGER",
"first_name": "NEIL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "30398",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
- Marcia Ann Becker, CRNA
- Lakshmi R. Beeravolu, MD
- Behavior Innovation Group, LLC
- Bel Clair Ambulatory Surgical Treatment Center, LTD
- Bel Clair Ambulatory Surgical Treatment Center, LTD.
- Stephen Bell, MD
- Belle Valley School District 119
- Janice Beller, PT
- Belleville Area SPC SRV Co - Adm
- Belleville Area Special Services Cooperative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.