DR. URETZ JOHN OLIPHANT (NPI# 1033154109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033154109 |
| Entity Type | Individual |
| Full Name | DR. URETZ JOHN OLIPHANT |
| Credential | MD |
| Practice Address |
200 Lerna Rd S Mattoon IL 61938-9388 |
| Practice Telephone | 2172585900 |
| Mailing Telephone | 2172585900 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036072317 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CLINIC GROUP NPI | 1255380846 | 01 |
| IL | MEDICARE CLINIC PTAN | 754210 | 01 |
| IL | 036072317 | 05 | |
| IL | NPI | 1033154109 | 01 |
| Street Address |
200 LERNA RD S |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-9388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568413490 | Paula C Mcnitt | Psychologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2006-05-15 |
| 1336796028 | Melanie Y Sparks | Physical Therapist | 200 Lerna Rd S, Mattoon, IL 61938-9300 | 2019-08-19 |
| 1124320700 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-12-02 |
| 1215254297 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-04-29 |
| 1447580774 | Jamie L Forsythe | Nurse Practitioner | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-01-08 |
| 1821218934 | Jean M Smitley | Speech-Language Pathologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-04-30 |
| 1720107626 | Barbara Hunter | Occupational Therapist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-29 |
| 1376662502 | Toni C Chambers | Speech-Language Pathologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-28 |
| 1215054507 | Brenda M Wilson | Speech-Language Pathologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-23 |
| 1801912167 | Mark Masse | Physical Therapist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528046141 | Bradley A Wilson | Surgery | 1000 Health Center Dr Ste 101, Mattoon, IL 61938-4644 | 2006-01-04 |
| 1285054031 | Todd Bierman | Surgery | 1000 Health Center Dr Ste 101, Mattoon, IL 61938 | 2014-04-21 |
| 1477671519 | Sarah Bush Lincoln Health Center | Surgery | 500 Health Center Dr, Suite 301, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1467568345 | Kellie Jones-monahan | Surgery | 1000 Health Center Dr Ste 101, Mattoon, IL 61938-4644 | 2006-08-22 |
| 1386750685 | Curtis Green | Surgery | 1000 Health Center Dr Ste 101, Mattoon, IL 61938-4644 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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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.