MEDICARE: DAVID ALEXANDER ATHAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	209.034664	IL

General Provider Information

NPI Number	:	1699625038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALEXANDER ATHAY

Provider Business Mailing Address
First Line	:	2775 PEARCE PT
Second Line	:
City	:	NEWBURGH
State	:	IN
Zip	:	47630-9047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 HEALTH CENTER DR
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-4644
Country	:	US
Telephone Number	:	360-989-0283
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

Similar Medicare Providers

1851385462 — RANDY R ISAACS MD
Practice Location Address:

1000 HEALTH CENTER DR
MATTOON, IL
61938-4644

Practice Phone: 217-238-4325
Practice Fax: 217-348-4290

1881665966 — DR. JOHN CARL VENTURA MD
Practice Location Address:

1000 HEALTH CENTER DR
MATTOON, IL
61938-4644

Practice Phone: 217-258-2551
Practice Fax: 217-258-2256

1023086295 — JOHN ROGERS MD
Practice Location Address:

1000 HEALTH CENTER DR
MATTOON, IL
61938-4644

Practice Phone: 217-238-4325
Practice Fax:

1407812746 — DR. VENKAT R MINNAGANTI M.D.
Practice Location Address:

1000 HEALTH CENTER DR STE 302
MATTOON, IL
61938-4644

Practice Phone: 217-238-4770
Practice Fax: 217-234-1204

1518919265 — KATHRYN E TANNER MD
Practice Location Address:

1000 HEALTH CENTER DR
MATTOON, IL
61938-4644

Practice Phone: 661-334-0203
Practice Fax:

1740211390 — JEFFREY J JENSON M.D.
Practice Location Address:

1000 HEALTH CENTER DR STE 302
MATTOON, IL
61938-4644

Practice Phone: 217-238-4850
Practice Fax: 217-238-4855

Directions to “ DAVID ALEXANDER ATHAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.