STUART KENT LANKFORD (NPI# 1053833343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053833343 |
| Entity Type | Individual |
| Full Name | STUART KENT LANKFORD |
| Credential | PA-C |
| Practice Address |
1350 Cedar Ct Carbondale IL 62901-5336 |
| Practice Telephone | (618) 529-2955 |
| Practice Fax Number | 6184577823 |
| Mailing Telephone | 6185292955 |
| Mailing Fax Number | 6184577823 |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
085.006142 | IL | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085006142 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1350 CEDAR CT |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682732 | Randy Gene Cowart | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2005-07-13 |
| 1982109419 | Jacqueline B Biggs | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2018-03-27 |
| 1487700696 | Southern Illinois Nutrition Specialties | Dietitian, Registered | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2007-01-28 |
| 1447288501 | Yuan Chen | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-06-29 |
| 1679511281 | Mary Rosenhauer | Physician Assistant | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-06-04 |
| 1992763312 | Muhammad Kamran | Internal Medicine | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605237 | Macy L Henson | Physician Assistant | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2019-02-15 |
| 1659741312 | Morgan Echols | Physician Assistant | 405 W Jackson St, Carbondale, IL 62901-1462 | 2015-10-06 |
| 1164774261 | Theresa Micknick | Physician Assistant | 165 Fallbrook St, Carbondale, PA 18433 | 2012-10-12 |
| 1255618237 | Alexis Elizabeth Lorinskas | Physician Assistant | 202 W Jackson St, Carbondale, IL 62901-1409 | 2011-11-04 |
| 1093025272 | Ann Bridget Diehl | Physician Assistant | 254 Brooklyn St, Carbondale, PA 18407-2824 | 2010-10-20 |
| 1225364219 | Alicia K Cremeens | Physician Assistant | 2601 W Main St, Carbondale, IL 62901-1031 | 2009-10-26 |
| 1376673582 | Ivy Jane Chalmers | Physician Assistant | 978 Euclid Ave, Carbondale, CO 81623-1820 | 2007-03-06 |
| 1962549790 | Jenifer Marie Chambless | Physician Assistant | 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 | 2007-01-31 |
| 1679511281 | Mary Rosenhauer | Physician Assistant | 1350 Cedar Ct, Carbondale, IL 62901-5336 | 2006-06-04 |
| 1972589919 | Max A Baier | Physician Assistant | 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 | 2005-12-21 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on STUART KENT LANKFORD.
| 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.