DR. JONATHAN B VASQUEZ (NPI# 1093910507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093910507 |
Entity Type | Individual |
Full Name | DR. JONATHAN B VASQUEZ |
Credential | M.D. |
Practice Address |
1800 E Lake Shore Dr Decatur IL 62521-3810 |
Mailing Address |
1033 Westmore Meyers Rd Apt. 110 Lombard IL 60148-3285 |
Practice Telephone | 2174642966 |
Enumeration Date | 2007-06-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750753273 | Jonathan Vasquez | Student in an Organized Health Care Education/Training Program | 541 W 180th St, 48, New York, NY 10033 | 2015-10-23 |
1326406786 | Jonathan Vasquez | Respiratory Therapist, Registered | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-02-01 |
1699016006 | Jonathan Michael Vasquez | Rehabilitation Practitioner | 9864 Baldwin Pl, El Monte, CA 91731-2202 | 2013-03-09 |
Street Address |
1800 E LAKE SHORE DR |
City | DECATUR |
State | IL |
Zip Code | 62521-3810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326041229 | St Marys Hospital Sisters of The Third Order of St Francis | General Acute Care Hospital | 1800 E Lake Shore Dr, Decatur, IL 62521 | 2005-05-24 |
1093349912 | Nicholas Halford | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2020-02-29 |
1295368207 | Amanda Durbin | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2020-02-18 |
1194362392 | Cassie Briggs | Nurse Practitioner | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-12-06 |
1093351413 | Megan Leech | Advanced Practice Midwife | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-11-20 |
1992355812 | Gideon Nkrumah | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-09-12 |
1407417181 | Komal J Patel | Dietitian, Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-06-24 |
1760940712 | Emily Ann Foster | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-03-08 |
1477010874 | Jennifer Diann Pieper | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-02-22 |
1760955298 | Hailey Michelle Williams | Dietitian, Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-01-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
Find all providers in zip 62521 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679891311 | Cindy Mei Chy Hsieh | Pathology | 1800 E. Lake Shore Drive, Decatur, IL 62521-4839 | 2010-05-05 |
1952314627 | Elizabeth W Jones | Pathology | 2300 N Edward Street, Decatur, IL 62526 | 2006-08-14 |
1922014455 | David Martin Johnson | Pathology | 2300 N Edward Str, Decatur, IL 62526 | 2006-08-01 |
1063426526 | Robert Kevin Harrell | Pathology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-07-28 |
1417907890 | Vijay Alluri Varma | Pathology | Va Medical Center Lab Services, 1670 Clairmont Rd., Decatur, GA 30033 | 2006-05-10 |
1376504365 | Sue A Strayer | Pathology | 1800 E Lake Shore Drive, St Marys-decatur, Decatur, IL 62521-3883 | 2006-03-29 |
1013335074 | Shannon Marie O'brien | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2014-04-06 |
1356607998 | Tesha Ann Guillory | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2012-04-09 |
1386930832 | Lora Darrisaw | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2011-06-23 |
1861678468 | Jigna C Jani | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2008-01-14 |
Find all providers in DECATUR |
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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.