Anesthesia Associates, LTD
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Aurora, IL
NPI 1952308223 · NPPES record last updated Aug 19, 2009
Key facts
- NPI
- 1952308223
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 999999999 (IL)
- Legal business name
- ANESTHESIA ASSOCIATES, LTD
- Practice address
- 2540 Hanford LN
Aurora, IL 60502-6969 - Phone
- (815) 748-8993
- NPI assigned
- Jul 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael Coulson, D.O.
- Title
- Owner
- Phone
- (815) 748-8993
Corporate family (same tax ID) 9
Practitioners 139
-
Grant Theodore Balbarin, CRNA
-
Michael D Coulson, D.O.
-
Stephen A Flaherty, CRNA
-
Kayla Nicole Gregory, DNP, CRNA
-
Alison Hunt, CRNA
-
Satya P Manam, M.D.
-
Jason Moore, CRNA
-
Mark A. Nessim, M.D.
-
Kathryn N Orona, CRNA
-
Helen Elizabeth Rayburn, CRNA
-
Tamara Rendulic, M.D.
-
Segun Sadique Shonibare, CRNA, MS
-
Natalie Simak, MD
-
Sumit Singh, MD
-
Jacob Michael Szafranski, CRNA
-
George G. Theotikos, D.O.
-
Emilie Verson, CRNA
-
Jennifer Vitale, CRNA
-
Daniel Watts, CRNA
-
Robert William Zimny, APRN, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040224000185 | IL | Part B Supplier - Clinic/Group Practice | 2961303425 |
Receives reassigned benefits from 100 practitioners Practice locations: Saint Charles, IL; Yorkville, IL; Wauwatosa, WI; Sycamore, IL; Spring Valley, IL; Rockford, IL; Oswego, IL; North Aurora, IL… |
National Provider Directory
- Tax ID family
- St James Hospital
Locations
2631 Williamsburg Ave
Ste 102
Geneva, IL 60134
Phone (630) 232-7860
500 E 22nd St
Lombard, IL 60148
Phone (630) 620-8061
401 Roxbury Rd
Rockford, IL 61107
Phone (815) 397-7340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | 999999999 | IL | Yes |
Addresses
Primary practice location
2540 Hanford LN
Aurora, IL 60502-6969
Mailing address
350 S Northwest Hwy
Park Ridge, IL 60068-4216
Phone (847) 720-7457
Other providers in Aurora, IL
- Sonia K Anderson
- Tanya Michelle Anderson
- Tara Anderson
- Jason Chester Andrade
- Deborah R Andras
- Angel Hands Chiropractic LLC
- Marianne Angelos
- Aydia Aniszewski
- Jacqueline Anonales-Bustos
- Alexander Anooshah
All providers in Aurora, IL · Pain Medicine (Anesthesiology) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.