PRINCIPLE ANESTHESIA PLLC
NPI 1063128049
Nurse Anesthetist, Certified Registered in Morton, IL

NPI Status: Active since January 24, 2023

Contact Information

430 MAXINE DR
MORTON, IL
ZIP 61550
Phone: (309) 495-4520

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  • Organization
  • Nurse Anesthetist, Certified Registered

About PRINCIPLE ANESTHESIA PLLC

This page provides the complete NPI Profile along with additional information for Principle Anesthesia Pllc, a provider established in Morton, Illinois operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1063128049 assigned on January 2023. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Principle Anesthesia Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Michael Keedy Crna (Owner)

NPI
1063128049
Provider Name
PRINCIPLE ANESTHESIA PLLC
Entity Type
Organization
Location Address
430 MAXINE DR MORTON, IL 61550
Location Phone
(309) 495-4520
Mailing Address
PO BOX 631 LAKE FOREST, IL 60045
Mailing Phone
(847) 615-2858
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2023
Last Update Date
01-26-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL KEEDY CRNA

Authorized Official Title
OWNER
Authorized Official Phone
(309) 267-5510

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063128049
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123221608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 2 + 1 + 6 + 0 + 8 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1063128049 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

SIGNATURE ANESTHESIA LLC

Anesthesiology

430 MAXINE DR
MORTON, IL
ZIP 61550

(309) 495-5420

SPECTRUM HEALTH INC

Nurse Anesthetist, Certified Registered

430 MAXINE DR
MORTON, IL
ZIP 61550

(309) 495-4520

RENAL INTERVENTION CENTER, PLLC

Clinic/Center

(Ambulatory Surgical)

430 MAXINE DR
MORTON, IL
ZIP 61550

(309) 495-5420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063128049, enumerated as an "organization" on January 24, 2023.

The provider is located at 430 MAXINE DR MORTON, IL 61550 and the phone number is (309) 495-4520.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.