ASSOCIATED PHYSICIANS GROUP LTD (NPI# 1013398718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013398718 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED PHYSICIANS GROUP LTD |
| Practice Address |
4414 W Center Dr Alton IL 62002-5932 |
| Mailing Address |
916 Talon Dr Suite 102 O Fallon IL 62269-1848 |
| Practice Telephone | 6185094870 |
| Practice Fax Number | 6185094871 |
| Mailing Telephone | 6186288211 |
| Mailing Fax Number | 6186280883 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | JOHN S VICK (OWNER) |
| Authorized Official Telephone | 6186288211 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | A5100 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275921306 | Associated Physicians Group Ltd | Clinic/Center | 916 Talon Dr Ste 102, O Fallon, IL 62269-1848 | 2014-12-23 |
| 1902157225 | Associated Physicians Group Ltd | Physical Therapist | 845 N Ballas Court, Suite 120, Creve Couer, MO 63141 | 2012-09-26 |
| 1346784675 | Associated Physicians Group Ltd | Physician Assistant | 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592 | 2016-12-06 |
| 1821357807 | Associated Physicians Group Ltd | Physical Medicine & Rehabilitation | 20 Professional Park Dr, Suite A, Maryville, IL 62062-5830 | 2012-05-10 |
| 1235467606 | Associated Physicians Group Ltd | Specialist | 12 Wolf Creek Dr, Suite 200, Swansea, IL 62226-2314 | 2009-11-24 |
| 1669709317 | Associated Physicians Group Ltd | Specialist | 1181 S State Route 157, Suite 200c, Edwardsville, IL 62025-3710 | 2009-11-17 |
| Street Address |
4414 W CENTER DR |
| City | ALTON |
| State | IL |
| Zip Code | 62002-5932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922515279 | Danielle N Rennie | Nurse Practitioner | 4414 W Center Dr, Alton, IL 62002-5932 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728169 | Amy Lynn Katsikas | Clinical Nurse Specialist | 1405 North Green Mount Road, Suite 511, O'fallon, IL 62269-3494 | 2020-04-08 |
| 1407349343 | Tina Marie Bauman | Clinical Nurse Specialist | 1555 Barrington Rd Ste 1400, Hoffman Estates, IL 60169-5038 | 2018-06-13 |
| 1639547417 | Virginia Ann Baker | Clinical Nurse Specialist | 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 | 2015-09-09 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1821474388 | Deborah Ann Lawrence | Clinical Nurse Specialist | 17800 Kedzie Ave Fl 4, Hazel Crest, IL 60429-2029 | 2015-08-07 |
| 1245615947 | Gabriel Oluwakotanmi | Clinical Nurse Specialist | 8056 S Harper Ave, Chicago, IL 60619-4637 | 2015-07-23 |
| 1396148391 | Elizabeth Moon | Clinical Nurse Specialist | 252 Thrush Cir, Lindenhurst, IL 60046-7948 | 2014-10-03 |
| 1831435189 | Rena Thompson | Clinical Nurse Specialist | 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 | 2012-12-13 |
| 1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
| 1033460381 | Tom Blicharski | Clinical Nurse Specialist | 4701 W 102nd St, Oak Lawn, IL 60453-4223 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.