MARK ATKINSON VANGORDER (NPI# 1053304956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053304956 |
| Entity Type | Individual |
| Full Name | MARK ATKINSON VANGORDER |
| Credential | MD |
| Practice Address |
St James Hospital- Chicago Heights 1423 Chicago Rd Chicago Heights IL 60411-3483 |
| Mailing Address |
113 E 4th St Michigan City IN 46360-3301 |
| Practice Telephone | 7087561000 |
| Practice Fax Number | 7087092006 |
| Mailing Telephone | 2198733130 |
| Mailing Fax Number | 2198733132 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036104407 | IL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01053877A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CIGNA | 9512355002 | 01 |
| IN | ISPAT/INLAND | 351173213 | 01 |
| IN | RAILROAD MEDICARE | P00818143 | 01 |
| IN | BC/BS | 000000648429 | 01 |
| IN | BC/BS | 199791 | 01 |
| IN | 200327850 | 05 | |
| IN | CCN | 070058 | 01 |
| IN | HFN | 351173213 | 01 |
| IN | RR MEDICARE | 220032191 | 01 |
| IL | BC/BC | 01630255 | 01 |
| Street Address |
ST JAMES HOSPITAL- CHICAGO HEIGHTS 1423 CHICAGO RD |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293832 | John M Abran | Pathology | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2005-08-25 |
| 1598968992 | Shuting Bai | Pathology | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2007-06-06 |
| 1467445361 | Mark Alan Fritsch | Pathology | 1423 Chicago Rd, Department of Pathology, Chicago Heights, IL 60411-3400 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930145 | Uttamjot Kaur | Pathology | 2650 Ridege Avenue, Evanston Hospital, Chicago, IL 60613-6061 | 2020-10-21 |
| 1770131831 | Reditus Laboratories | Pathology | 1805 Riverway Dr, Pekin, IL 61554-9309 | 2019-08-30 |
| 1679137756 | Hans-magne Hansen Hamnvag | Pathology | 2460 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
| 1497229157 | Almasri Medical LLC | Pathology | 8150 185th St Ste A, Tinley Park, IL 60487-9319 | 2019-01-16 |
| 1689188062 | Karina Colossi Furlan | Pathology | 1750 W Harrison St Fl 5, Chicago, IL 60612-3825 | 2017-11-21 |
| 1245753961 | Ayse Irem Kilic | Pathology | 2160 South First Ave., Maywood, IL 60153-3328 | 2017-07-25 |
| 1073967162 | Lucy Fu | Pathology | 303 East Chicago Avenue Ward 3-140 W127, Chicago, IL 60611-1059 | 2016-04-14 |
| 1679930457 | Lindsay Alpert | Pathology | 150 Harvester Drive, Suite 300, Burr Ridge, IL 60527-6686 | 2016-01-25 |
| 1831573898 | Indu Agarwal | Pathology | 2100 Valencia Dr, #314b, Northbrook, IL 60062-7063 | 2015-07-18 |
| 1053790113 | Lisa Han | Pathology | 5841 S. Maryland Ave., Rm. S323, Mc 3083, Chicago, IL 60637-1470 | 2015-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.