TODD E VONDERHEIDE (NPI# 1083720775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083720775 |
Entity Type | Individual |
Full Name | TODD E VONDERHEIDE |
Credential | MD |
Practice Address |
251 Market Place Dr Suite 100 Freeburg IL 62243-1393 |
Mailing Address |
739 N Jefferson St Suite 22 Mascoutah IL 62258 |
Practice Telephone | 6185390067 |
Practice Fax Number | 6185390288 |
Mailing Telephone | 6185668810 |
Mailing Fax Number | 6185667121 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2010-10-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036093782 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036093782 | 05 |
Street Address |
251 MARKET PLACE DR SUITE 100 |
City | FREEBURG |
State | IL |
Zip Code | 62243-1393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225351703 | Apex Physical Therapy | Physical Therapist | 251 Marketplace Center, Freeburg, IL 62243 | 2010-03-11 |
1346308178 | Debra Ann Biekert | Speech-Language Pathologist | 934 Bay Pointe Dr, Freeburg, IL 62243 | 2006-12-05 |
1831289750 | Groceries of Southern Illinois, LLC | Pharmacy | 369 Marketplace Dr, Freeburg, IL 62243 | 2006-10-13 |
1255316725 | Vidya Deshpande | Pathology | 45 Sheffield Drive, Belleville, IL 62243 | 2005-12-07 |
1619537867 | Angela Kay Kern | Nurse Practitioner | 251 Marketplace Dr, Freeburg, IL 62243 | 2019-06-19 |
1386961464 | Jamie L Hahne | Massage Therapist | 102 N State St, Freeburg, IL 62243-1214 | 2010-04-28 |
1982600375 | Jannell W Vetter | Physical Therapist | 102 N State St, Freeburg, IL 62243-1246 | 2005-06-22 |
1902030927 | Matthew R. Leonard, S.c. | Chiropractor | 102 N State St, Suite A, Freeburg, IL 62243-1246 | 2009-05-05 |
1609995687 | Burl Wayne Hand IIi | Dentist | 201b W High St, Freeburg, IL 62243-1313 | 2007-03-28 |
1578727103 | Occupational Health Centers of Illinois PC | Clinic/Center | 501 W Apple St, Freeburg, IL 62243-1389 | 2008-07-13 |
Find all providers in zip 62243 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801049242 | William Leonard Yingling | Family Medicine | 307 E. New Market St., 307 E. New Market St., Freeburg, PA 17827-0243 | 2008-10-29 |
1548362841 | Brett Michael Winkeler | Family Medicine | 251 Marketplace Dr, Suite 1, Freeburg, IL 62243-4082 | 2006-09-05 |
1306952098 | James C Althoff | Family Medicine | 251 Market Place Drive, Suite 100, Freeburg, IL 62243-1393 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
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.