NATIONAL HEALTHCARE OF MT VERNON INC (NPI# 1063630820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063630820 |
| Entity Type | Organization |
| Organization Name | NATIONAL HEALTHCARE OF MT VERNON INC |
| Practice Address |
8 Doctors Park Rd Mount Vernon IL 62864-6224 |
| Practice Telephone | 6182418515 |
| Practice Fax Number | 6182422796 |
| Mailing Telephone | 6182418515 |
| Mailing Fax Number | 6182422796 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | LAURA J FEY (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 6152211400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ========= | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Crossroads Community Hospital ER Dept | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902143910 | National Healthcare of Mt Vernon Inc | Internal Medicine | 905 W Washington St, Suite A, Benton, IL 62812-1649 | 2013-01-10 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1447814405 | National Healthcare of Mt Vernon Inc | Clinic/Center | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2019-04-25 |
| 1528305448 | National Healthcare of Mt Vernon Inc | Family Medicine | 1209 W Robinson St, Wayne City, IL 62895-9672 | 2013-01-11 |
| 1619214624 | National Healthcare of Mt Vernon Inc | Internal Medicine | 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 | 2013-01-10 |
| 1962753277 | National Healthcare of Mt Vernon Inc | Clinic/Center | 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 | 2012-09-26 |
| 1932450772 | National Healthcare of Mt Vernon Inc | Clinic/Center | 1209 W Robinson St, Wayne City, IL 62895-9672 | 2012-09-19 |
| 1750353041 | National Healthcare of Mt Vernon Inc | General Acute Care Hospital | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2006-02-02 |
| 1851363154 | National Healthcare of Mt Vernon Inc | Medicare Defined Swing Bed Unit | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2006-02-02 |
| Street Address |
8 DOCTORS PARK RD |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729517 | James E. Probst Jr. | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2005-06-13 |
| 1194351668 | Justin L Northcutt | Physician Assistant | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2020-03-17 |
| 1437719093 | Vincent Coty Compton | Nurse Anesthetist, Certified Registered | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2019-06-17 |
| 1457824690 | Tyler Andrew Rueter | Nurse Practitioner | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2019-01-10 |
| 1447778642 | Adit Shah | Urology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2017-09-07 |
| 1518391200 | National Radiology Group At Mt Vernon LLC | Radiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2013-08-29 |
| 1972878460 | Anesthesia Associates of Southern Illinois, LLC | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2012-03-15 |
| 1922333806 | Deborah M Kessler | Occupational Therapist | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2009-10-09 |
| 1083803852 | Rend Emergency Physicians | Emergency Medicine | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2007-10-17 |
| 1467668152 | B J Gee | Respiratory Therapist, Registered | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730588864 | Natia Pantsulaia | Hospitalist | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2014-08-14 |
| 1912330200 | Fahad Syed Naseerullah | Hospitalist | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2013-08-09 |
| 1275973984 | Ohio Hospitalist Partners LLC | Hospitalist | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2013-06-26 |
| 1912961509 | Assem Botros Sherkawy | Hospitalist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.