MARK ALLEN NEKOLA (NPI# 1073509766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073509766 |
| Entity Type | Individual |
| Full Name | MARK ALLEN NEKOLA |
| Credential | MD |
| Practice Address |
3990 N Illinois St Swansea IL 62226-1919 |
| Mailing Address |
4900 W Main St Belleville IL 62226-4725 |
| Practice Telephone | 6182771130 |
| Practice Fax Number | 6182774917 |
| Mailing Telephone | 6182352400 |
| Mailing Fax Number | 6182350900 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036092365 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 18007717 | 01 | |
| IL | BCBS | 08215191 | 01 |
| IL | 036092365 | 05 |
| Street Address |
3990 N ILLINOIS ST |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033178 | Homer Ashton Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-16 |
| 1902255342 | Eye Surgery Center, Ltd. | Nurse Anesthetist, Certified Registered | 3990 N Illinois St, Swansea, IL 62226-1919 | 2016-06-07 |
| 1750511242 | Melissa Schleeper Kiel | Specialist | 3990 N Illinois St, Swansea, IL 62226-1919 | 2009-07-20 |
| 1396926424 | Eric Hunt Wigton | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2007-11-16 |
| 1164589164 | Michael Paul Jones | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2007-01-02 |
| 1326150822 | John Bush | Optometrist | 3990 N Illinois St, Swansea, IL 62226-1919 | 2006-08-31 |
| 1255374559 | Illinois Retina Surgery Ltd | Technician/Technologist | 3990 N Illinois St, Swansea, IL 62226-1919 | 2006-06-14 |
| 1376586685 | Jfj Eyecare, Ltd | Optometrist | 3990 N Illinois St, Swansea, IL 62226 | 2006-06-14 |
| 1447256797 | Bart Aaron Jones | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-22 |
| 1730185117 | Thomas Nicholas Fleming | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033178 | Homer Ashton Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-16 |
| 1023400058 | Retina Contracting Inc | Ophthalmology | 4111 N Illinois St, Swansea, IL 62226-7609 | 2015-02-27 |
| 1396926424 | Eric Hunt Wigton | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2007-11-16 |
| 1164589164 | Michael Paul Jones | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2007-01-02 |
| 1447256797 | Bart Aaron Jones | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-22 |
| 1730185117 | Thomas Nicholas Fleming | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-22 |
| 1386649234 | Jeffrey Michael Maher | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-16 |
| 1427053354 | Terence Glisan Klingele | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
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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.