JOHN D. LUNDEBERG CRNA – NPI #1386638906
Nurse Anesthetist, Certified Registered

(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.

JOHN LUNDEBERG is a certified registered nurse anesthetist (CRNA) located in MURPHYSBORO, IL. NPPES has assigned the NPI number 1386638906 to JOHN LUNDEBERG on September 09, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 367500000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Anesthetist, Certified Registered.

The NPI profile was previously updated about 6 years ago on Apr 13, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN LUNDEBERG below.

NPI Profile for
JOHN D. LUNDEBERG

NPI Number
1386638906
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN D. LUNDEBERG
Credentials
CRNA
Primary location
2 S HOSPITAL DR
MURPHYSBORO, IL 62966-3333
Phone: (618) 684-3156 Fax: (618) 529-0529
2 Other location(s):
405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721 Ext: 65137
Fax: (618) 529-0449
201 S 14th St
Herrin, IL 62948-3631
Phone: (618) 942-2171 Ext: 65137
Fax: (618) 351-4919
Mailing address
1239 E MAIN ST
CARBONDALE, IL 62901-3175
Phone: (618) 457-5200 Fax: (618) 529-0586
Sole Proprietor
No
Updated
Certification Date
Apr 13, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOHN LUNDEBERG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGROUP PTANIL214881
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
367500000X
- Nurse Anesthetist, Certified Registered (Primary)
IL 041181507

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.