DR. DAVID K DEETS (NPI# 1093786220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093786220 |
| Entity Type | Individual |
| Full Name | DR. DAVID K DEETS |
| Credential | M.D. |
| Practice Address |
215 E 1st St Ste 326 Ksb Medical Group Dixon IL 61021-3166 |
| Practice Telephone | 8152845719 |
| Practice Fax Number | 8152855894 |
| Mailing Telephone | 8152845719 |
| Mailing Fax Number | 8152855894 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 036-0482660 | IL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 036-0482660 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036048266 | 05 |
| Street Address |
215 E 1ST ST STE 326 KSB MEDICAL GROUP |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978222 | Monther F El Bzour | Internal Medicine | 215 E 1st St, Ste 214, Dixon, IL 61021 | 2006-01-27 |
| 1609474097 | Maggie Helen Connors | Nurse Practitioner | 215 E 1st St, Dixon, IL 61021-3166 | 2020-10-16 |
| 1770145849 | Saima Sardar | Podiatrist | 215 E 1st St, Dixon, IL 61021-3166 | 2019-06-28 |
| 1447812508 | Kanika Kochhar | Podiatrist | 215 E 1st St, Dixon, IL 61021-3166 | 2019-06-28 |
| 1053763664 | Kyle Swanson | Podiatrist | 215 E 1st St, Suite 310, Dixon, IL 61021-3166 | 2016-07-07 |
| 1558718650 | Bridgette Ann Woodall | Nurse Practitioner | 215 E 1st St, Dixon, IL 61021-3166 | 2016-05-18 |
| 1730553306 | Alissa Kirchner | Speech-Language Pathologist | 215 E 1st St, Dixon, IL 61021-3166 | 2015-11-19 |
| 1215338157 | Steven Yeschek | Podiatrist | 215 E 1st St, Dixon, IL 61021-3166 | 2014-09-10 |
| 1144431289 | Patricia J Geisz | Physical Therapist | 215 E 1st St, Commerce Towers, Suite 318-319, Dixon, IL 61021-3166 | 2007-05-24 |
| 1518178284 | Deb A Bowers | Physical Therapy Assistant | 215 E 1st St, Dixon, IL 61021-3166 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID K DEETS.
| 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.