CASEY EICHENAUER


Address: 330 N Wyckles Rd, Decatur, IL 62522-1034
Phone: 2178765820

CASEY EICHENAUER (NPI# 1083131973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083131973
Entity Type Individual
Full Name CASEY EICHENAUER
Credential NP
Practice Address 330 N Wyckles Rd
Decatur
IL 62522-1034
Mailing Address 2300 N Edward St
Business Office
Decatur
IL 62526
Practice Telephone 2178765820
Practice Fax Number 2174210936
Mailing Telephone 2178762256
Enumeration Date 2017-08-23
Last Update Date 2017-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209016261 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 330 N WYCKLES RD
City DECATUR
State IL
Zip Code 62522-1034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588279731 Alison Lynne Fornoff Nurse Practitioner 330 N Wyckles Rd, Decatur, IL 62522-1034 2020-09-14
1629586946 Ashley Ferguson Family Medicine 330 N Wyckles Rd, Decatur, IL 62522-1034 2018-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902370299 Julie Ann Marsh Psychologist 7120 W. William St., Decatur, IL 62522 2019-01-20
1588808323 Paul D. Potter, D.d.s., Ltd Dentist 280 West North St, Decatur, IL 62522 2009-04-23
1801059100 Melissa Ann Burnett Dentist 301 W North Street, Decatur, IL 62522 2008-07-07
1801060538 Ronald James Grason Internal Medicine 357 W Decatur St, Decatur, IL 62522 2008-04-14
1033328349 Jurgens & Kneezel Ltd Dentist 334 W Main Street, Decatur, IL 62522 2007-05-22
1740371905 Randy Curtis Kneezel Dentist 334 W Main, Decatur, IL 62522 2006-09-27
1457373375 Patricia Elaine Norton Dentist 1099 W Wood St, Suite E, Decatur, IL 62522 2006-07-24
1104883735 Stephen J Chadwick Otolaryngology 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 2006-04-27
1417408386 Heritage Behavioral Health Center Community/Behavioral Health 955 N Main St, Decatur, IL 62522 2016-10-17
1467522466 Alan Russell Jurgens Dentist 334 W Main, Decatur, IL 62522 2006-11-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729965 Jamie Mclemore Nurse Practitioner 17619 Hwy 58 North, Decatur, TN 37322-3732 2020-10-30
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1417564147 Jigna Patel Nurse Practitioner 1963 Don Juan Ln, Decatur, GA 30032-4218 2020-09-27
1659983856 Emilie Carsell Mathias Nurse Practitioner 2208 N Crossing Way, Decatur, GA 30033-4175 2020-08-19
1275151078 Tiffanie Marshall Mcguire Nurse Practitioner 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 2020-07-08
1922623610 Anastasiya A Drogoul Nurse Practitioner 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 2020-06-09
1174156244 Anne Marie Strickland Nurse Practitioner 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 2020-02-18
1174161822 Allison Leanne Hall Nurse Practitioner 304 W Hay St Ste 312, Decatur, IL 62526-4170 2019-12-12
1396387866 Elizabeth Nichole Mathews Nurse Practitioner 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 2019-10-16
1861040479 Oladunni Funmi Faminu Nurse Practitioner 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 2019-08-27
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Competitor

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City DECATUR
Zip Code 62522

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Dataset Information

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.

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