Airway Anesthesia PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

209-001108 Issued in IL

Legal business name

AIRWAY ANESTHESIA PC

Practice address

1105 Sterling Glen CC CT
Normal, IL 61761-5297

Phone

(309) 454-4617

Fax

(877) 757-6325

NPI assigned

May 9, 2012

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daryl D Chenoweth, CRNANPI 1902871312

Title

Director

Phone

(309) 454-4617

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daryl Chenoweth, CRNA

  • Certified Registered Nurse Anesthetist
  • Peoria, IL
  • NPI 1902871312
  Authorized official Same address or phone

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1992064166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 STERLING GLEN CC CT",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617615297",
            "telephone_number": "309-454-4617",
            "fax_number": "877-757-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 STERLING GLEN CC CT",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617615297",
            "telephone_number": "309-454-4617",
            "fax_number": "877-757-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRWAY ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "CHENOWETH",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-454-4617",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "209-001108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advocate Health and Hospitals Corp. (Advocate Bromenn Regional Medical Center BH)
• Advocate Health and Hospitals Corporation (Advocate BroMenn Regional Medical Center)
• Faisal Ahmed, MD
• Sam Sun Young Ahn, PHARMD
• Shelby Renee Ahrens, PA-C
• Aka Counseling Center LLC
• Muhammad S Akhtar, M.D.
• Lyndi Alberts, APN, FNP
• Shahid Ali, MD
• Allied Health Group, LTD (Central IL Spine)

• Anesthesiology Physician in Normal, IL
• Providers in Normal, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.