Active NPI
David K Hammond, CRNA
- Certified Registered Nurse Anesthetist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209008329
- Practice address
- 7309 N Knoxville Ave
Peoria, IL 61614-2085 - Phone
- (217) 528-7541
- NPI assigned
- Sep 7, 2010
- Last updated
- Sep 10, 2024
- 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 | 209008329 | IL | Primary |
Addresses
Primary practice location
7309 N Knoxville Ave
Peoria, IL 61614-2085
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other practice location 1
8600 N State Route 91
Suite 250
Peoria, IL 61615-9541
Phone (309) 692-5393
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209008329 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Superior Anesthesia Solutions, LLC | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients |
Locations
129 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 215-0530
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111
3801 Ireland Grove Rd
Bloomington, IL 61704
Phone (309) 664-0101
908 N Elm St
Ste 306
Hinsdale, IL 60521
Phone (630) 323-5214
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
8600 State Route 91
Ste 250
Peoria, IL 61615
Phone (309) 692-5393
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- david.hammond.1@28977.direct.athenahealth.com
Organizations & group practices 6
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
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1699032524
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Anesthesiology Physician
- Bloomington, IL
- NPI 1205319282
-
- Anesthesiology Physician
- Bloomington, IL
- NPI 1144712563
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1932416419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 N KNOXVILLE AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142085",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "8600 N State Route 91",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616159541",
"country_code": "US",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMOND",
"first_name": "DAVID",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-07",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209008329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.