DR. PAUL EARL LOETHEN (NPI# 1053595538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053595538 |
| Entity Type | Individual |
| Full Name | DR. PAUL EARL LOETHEN |
| Credential | M.D. |
| Practice Address |
2 Saint Anthonys Way Suite 305 Alton IL 62002-4569 |
| Practice Telephone | 6184658019 |
| Mailing Telephone | 6184658019 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 125048399 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2 SAINT ANTHONYS WAY SUITE 305 |
| City | ALTON |
| State | IL |
| Zip Code | 62002-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585677 | Dennis E. Sands | Obstetrics & Gynecology | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2005-11-17 |
| 1023584042 | Tawny Nicole Thomas | Nurse Practitioner | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2018-10-17 |
| 1992289979 | Roxanne R Strohbeck | Nurse Practitioner | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2018-09-17 |
| 1861975849 | Colin Michael Solomon | Nurse Practitioner | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2018-09-14 |
| 1639508039 | Billie Vincent | Nurse Practitioner | 2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 | 2013-11-06 |
| 1790065464 | Saikiran Raghavapuram | Internal Medicine | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2011-08-25 |
| 1407144231 | Kate A Smith | Physician Assistant | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2011-07-13 |
| 1700112521 | Lisa M Fritcher | Physician Assistant | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2009-10-29 |
| 1851524011 | Carole H Mckinstry | Nurse Practitioner | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2009-09-03 |
| 1902062862 | Priya Kumaraguru | Family Medicine | 2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 | 2008-07-31 |
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| 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 |
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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 |
|---|---|---|---|---|
| 1083067250 | Arjun Sivaraman | Surgery | 2 Memorial Dr, Ste 205, Alton, IL 62002-6723 | 2016-07-22 |
| 1437551322 | Osf Healthcare System | Surgery | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2014-09-23 |
| 1477781177 | Matthew C Musielak | Surgery | 4 Memorial Dr Ste 230b, Alton, IL 62002 | 2009-07-01 |
| 1104026707 | Christopher Ryan Aldridge | Surgery | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2007-07-20 |
| 1740487545 | Michael L Bonebrake | Surgery | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2007-06-27 |
| 1609907880 | Fairview Heights Medical Group Sc | Surgery | 2 Memorial Dr, Suite 105, Alton, IL 62002-6723 | 2007-03-08 |
| 1770590523 | Laurance Monckton | Surgery | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2006-08-02 |
| 1740274992 | Maudie M Miller | Surgery | 1 Professional Dr, Suite 150, Alton, IL 62002-5068 | 2005-09-02 |
| 1043203250 | James A Kliefoth | Surgery | 1 Professional Dr, Ste 150, Alton, IL 62002-5068 | 2005-08-24 |
| 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.