Douglas Mcdonald Childs, CRNA | |
800 E Carpenter St, Springfield, IL 62704-5324 | |
(217) 525-5643 | |
(217) 544-2521 |
Full Name | Douglas Mcdonald Childs |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 800 E Carpenter St, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003249186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209010588 (Illinois) | Primary |
Entity Name | Taylorville Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518170729 PECOS PAC ID: 8022914704 Enrollment ID: O20031211001049 |
Entity Name | Associated Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
Entity Name | Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579 |
Entity Name | Normal Bloomington Anesthesiologists, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760754378 PECOS PAC ID: 4385806181 Enrollment ID: O20120424000098 |
Mailing Address | Practice Location Address |
---|---|
Douglas Mcdonald Childs, CRNA 800 E Carpenter St, Springfield, IL 62702-5324 Ph: (217) 791-3684 | Douglas Mcdonald Childs, CRNA 800 E Carpenter St, Springfield, IL 62704-5324 Ph: (217) 525-5643 |
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071 | |
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071 | |
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521 | |
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311 |