Southern Illinois Anesthesia LTD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOUTHERN ILLINOIS ANESTHESIA LTD

Practice address

2030 Sherman Dr
Princeton, IN 47670-1045

Phone

(812) 385-5820

Fax

(812) 385-5826

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dennis L Griggs, CRNA

Title

President

Phone

(812) 473-0181

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey A Potts, CRNA

  • Certified Registered Nurse Anesthetist
  • Princeton, IN
  • NPI 1538119789
  NPD (past)
• Philomina Oommen Thuruthumaly, M.D.

  • Anesthesiology Physician
  • Princeton, IN
  • NPI 1861585663
  NPD (past)
• Mark E Kennedy

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, IL
  • NPI 1972707792
  NPD (past)
• Keith D Thomas, MD

  • Anesthesiology Physician
  • Owensboro, KY
  • NPI 1295785822
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1932145000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701045",
            "telephone_number": "812-385-5820",
            "fax_number": "812-385-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS ANESTHESIA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-473-0181",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF0120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000071585",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200095330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Sisco, MSW
• Jennifer Smith, APN FNP
• Stephanie Lynn Snodgrass, PT, DPT
• Brandie M Snyder, RN
• Brena Sorgius
• Tessa M Spindler, LSW
• Aric Dylan Stanish, RPH
• Leslie B Stilwell, APRN
• Ashley Brooke Stoelb, COTA/L
• Carol Storckman

• Anesthesiology Physician in Princeton, IN
• Providers in Princeton, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.