JACOB R PAUL CRNA
NPI 1780022871
Nurse Anesthetist, Certified Registered in Barrington, IL

Q: What is Jacob Paul's NPI number?

The NPI number for Jacob Paul is 1780022871. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Jacob Paul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Paul was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2013

200 FOX GLEN CT, BARRINGTON, IL 60010(847) 382-7165(847) 713-8160 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2022, Apr 24, 2018 (2 updates tracked since 2018).

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About Jacob R Paul Crna NPPES

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

JACOB R PAUL CRNA (NPI 1780022871) is an individual nurse anesthetist, certified registered in Barrington, Illinois, licensed in Wisconsin (163723) and active in the NPI registry since June 2013. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780022871

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJACOB R PAULCredential: CRNA

Location Address200 FOX GLEN CTBarrington, IL 60010-1809

Mailing Address4025 N 92nd StWauwatosa, WI 53222-1613 · (414) 358-5431

Phone(847) 382-7165

Fax(847) 713-8160

Sole ProprietorNo

Enumeration DateJune 11, 2013

Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1780022871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code367500000X

License✔ Licensed in WI · 163723

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.

200 FOX GLEN CT, Barrington, IL 60010

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Secondary Practice Locations 2

Location 15744 N Broadway StChicago, IL 60660-4302 · Phone (312) 335-0180 · Fax (773) 275-4679

Location 24025 N 92nd StWauwatosa, WI 53222-1613 · Phone (414) 358-5431

Other Providers at the Same Location NPPES 7

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

SUSAN PODLOGAR CRNA

Nurse Anesthetist, Certified Registered