DR. DAVID R KNOX (NPI# 1033222625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033222625 |
Entity Type | Individual |
Full Name | DR. DAVID R KNOX |
Credential | MD |
Practice Address |
2512 Hurst Dr. Mattoon IL 61938-2500 |
Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
Practice Telephone | 2172585900 |
Practice Fax Number | 2172585904 |
Mailing Telephone | 2173836792 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2015-04-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036100522 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036100522 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902153802 | David Knox | Chiropractor | 419 Stranraer Ct, Fuquay Varina, NC 27526-6988 | 2012-08-09 |
1275573255 | David Luke Knox | Neurological Surgery | 3561 Johnson Mill Blvd, Suite 101, Fayetteville, AR 72704-5026 | 2006-06-07 |
1710330402 | David Knox | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2016-07-18 |
1447331921 | David Glen Knox | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-10-18 |
1902847544 | David Knox | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-08 |
Street Address |
2512 HURST DR. |
City | MATTOON |
State | IL |
Zip Code | 61938-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609863620 | Hong Holly Zhang | Physician Assistant | 2512 Hurst Dr., Ste 120, Mattoon, IL 61938-9388 | 2005-10-04 |
1184856825 | Karri L. Brown | Nurse Practitioner | 2512 Hurst Dr., Mattoon, IL 61938-2500 | 2009-08-13 |
1407006828 | Kelly L Holt | Registered Nurse | 2512 Hurst Dr., Mattoon, IL 61938-9388 | 2008-09-22 |
1215198189 | Kristine Ross Carpenter | Family Medicine | 2512 Hurst Dr., Mattoon, IL 61938 | 2008-06-23 |
1215159744 | Aja Lystila | Emergency Medicine | 2512 Hurst Dr., Family Medicine, Mattoon, IL 61938-9388 | 2007-05-03 |
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 |
Find all providers in zip 61938 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548255243 | Nafees Khan | Pediatrics | 2512 Hurst Dr Ste 130, Mattoon, IL 61938-9200 | 2005-09-19 |
1396863437 | Sarah Bush Lincoln Health Center | Pediatrics | 500 Health Center Dr, Suite 208, Mattoon, IL 61938-9258 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417259979 | Adolescent and Young Adult Place Ltd | Pediatrics | 9 N Cicero Ave, Chicago, IL 60644-3602 | 2010-12-03 |
1942520671 | Cherie Priya Dhar | Pediatrics | 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 | 2010-06-04 |
1730334764 | Neighborhood Pedicatrics Sc | Pediatrics | 20200 Governors Dr, 101, Olympia Fields, IL 60461-1032 | 2008-11-18 |
1790950244 | Kids Place of Willowbrool Sc | Pediatrics | 6727 Kingery Hwy, Willowbrook, IL 60527-5142 | 2008-04-25 |
1841475746 | David C. Norman, Md Inc. | Pediatrics | 4600 Memorial Dr Ste G60, Belleville, IL 62226-5366 | 2008-01-09 |
1346429859 | Pediatric & Adolescent Center, S.c. | Pediatrics | 125 E Lake Cook Rd Ste 107, Buffalo Grove, IL 60089-4394 | 2007-10-31 |
1649475377 | Lisa Kantz Simons | Pediatrics | 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 | 2007-06-21 |
1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
1558402958 | Ashok H Bhaskar | Pediatrics | 2250 Weber Rd, Crest Hill, IL 60435-0928 | 2007-02-09 |
1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
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.