GRANITE CITY ANESTHESIA
NPI 1003892464
Nurse Anesthetist, Certified Registered in Granite City, IL

Q: What is Granite City Clinic Corp's NPI number?

The NPI number for Granite City Clinic Corp is 1003892464. It was assigned to this organization in the NPPES registry on December 19, 2005. The provider is doing business as Granite City Anesthesia.

Q: What is Granite City Clinic Corp's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since December 19, 2005

2100 MADISON AVE, GRANITE CITY, IL 62040(618) 798-3000 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Granite City Anesthesia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANITE CITY ANESTHESIA (NPI 1003892464) is a healthcare organization registered as a nurse anesthetist, certified registered in Granite City, Illinois and active in the NPI registry since December 2005. The organization lists Gary Newsome, Vp, as its authorized official.

NPPES Registry Identity

NPI1003892464

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameGRANITE CITY CLINIC CORP

Location Address2100 MADISON AVEGranite City, IL 62040-4701

Mailing AddressP O Box 503734Saint Louis, MO 63150-0001 · (660) 826-5960 · Fax (660) 826-4852

Phone(618) 798-3000

Organization SubpartNo

Authorized OfficialGary NewsomeVp · (615) 465-7000

Enumeration DateDecember 19, 2005

Last NPPES UpdateJuly 30, 2007

✔ NPI 1003892464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedAnesthesiologyTaxonomy 207L00000X

2100 MADISON AVE, Granite City, IL 62040

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Other Names 1

Doing Business AsGranite City Anesthesia

Other Identifiers 1

Medicare PIN208168TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER ANNE LECHEVALIER PHARMD, RPH

Pharmacist