DR. JAMES ROBERT DESALVIO (NPI# 1063539674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063539674 |
Entity Type | Individual |
Full Name | DR. JAMES ROBERT DESALVIO |
Credential | D.O. |
Practice Address |
810 W. Anthony Dr. Urbana IL 61802-7431 |
Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
Practice Telephone | 2173833077 |
Practice Fax Number | 2173833519 |
Mailing Telephone | 2173836792 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2015-04-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
036-094738 | IL | Allopathic & Osteopathic Physicians |
Street Address |
810 W. ANTHONY DR. |
City | URBANA |
State | IL |
Zip Code | 61802-7431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144543992 | Leslie Murli Manohar | Orthopaedic Surgery | 810 W. Anthony Dr., Ortho, Urbana, IL 61802-7431 | 2010-03-09 |
1396864005 | Amber Drake | Physical Therapist | 810 W. Anthony Dr., Urbana, IL 61802 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
Find all providers in zip 61802 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568860500 | Healthstat On-site Clinic Watlow Richmond Il | Preventive Medicine | 5710 Kenosha St, Richmond, IL 60071-9411 | 2014-12-08 |
1164854402 | Healthstat On-site Clinic/parker Hannifin Rockford | Preventive Medicine | 10711 N 2nd St, Machesney Park, IL 61115-1459 | 2013-08-08 |
1114299476 | Martin W Harrison | Preventive Medicine | 1318 W Catalpa Ave, Chicago, IL 60640-1317 | 2012-02-02 |
1851660583 | Healthstat Inc | Preventive Medicine | 2700 Ellis Rd, Joliet, IL 60433-8459 | 2011-12-27 |
1568756831 | William Leslie Rutherford Jr. | Preventive Medicine | 9660 Wolf Rd, Box 42, Geneseo, IL 61254-9039 | 2011-06-04 |
1437451374 | Maria Rosa | Preventive Medicine | 2133 W Lexington St, Chicago, IL 60612-3707 | 2010-11-29 |
1437464112 | Leena H.a.h Almarzouqi | Preventive Medicine | 114 E Cook Ave, Libertyville, IL 60048-2015 | 2010-08-18 |
1598995870 | Shari Beth Glynn | Preventive Medicine | 100 Abbott Park Road, C/o Abbott Laboratories: Ap6d/dept. 058p, Abbott Park, IL 60064-6035 | 2009-07-21 |
1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
1801913819 | Monisha Nichani-jain | Preventive Medicine | 8125 River Dr, Morton Grove, IL 60053-2642 | 2007-03-23 |
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.