MS. SALLY JANE MUICH (NPI# 1063515385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063515385 |
Entity Type | Individual |
Full Name | MS. SALLY JANE MUICH |
Other Name | SALLY JANE MUICH |
Credential | NP |
Practice Address |
180 S 3rd St 300 Belleville IL 62220-1952 |
Practice Telephone | 6182335480 |
Practice Fax Number | 6182224972 |
Mailing Telephone | 6182335480 |
Mailing Fax Number | 6182224972 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2012-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
099684 | MO | Nursing Service Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209006132 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
180 S 3RD ST 300 |
City | BELLEVILLE |
State | IL |
Zip Code | 62220-1952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477548238 | Rhonda G Ozanian | Social Worker | 180 S 3rd St, Suite 400, Belleville, IL 62220-1952 | 2005-09-16 |
1346690625 | Dane Bay | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2016-06-16 |
1518317056 | Joseph August Yoha | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2016-06-15 |
1548610017 | Daniela Vincent | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2016-06-15 |
1568811321 | Marcus R Hennon | Family Medicine | 180 S 3rd St, Belleville, IL 62220-1952 | 2016-06-11 |
1518316728 | Sana Usman | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2016-06-08 |
1053769992 | Michelle Baker | Family Medicine | 180 S 3rd St, Belleville, IL 62220-1952 | 2016-06-01 |
1356722151 | Imran Khan | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2015-06-17 |
1790166965 | Jennifer Woosley | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2015-06-14 |
1619358900 | Gretta Carroll | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2015-06-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
Find all providers in zip 62220 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407304728 | Maureen Julia Dunajcik | Nurse Practitioner | 4700 Memorial Dr Ste 250, Belleville, IL 62226-5373 | 2016-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
Find all providers with the same taxonomy |
City | BELLEVILLE |
Zip Code | 62220 |
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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.