MRS. MICHELLE DEANE MC LAIN (NPI# 1104102474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104102474 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE DEANE MC LAIN |
| Credential | APN |
| Practice Address |
3333 W Deyoung St Marion IL 62959 |
| Mailing Address |
260 Marina Cir Creal Springs IL 62922-1411 |
| Practice Telephone | 6189987947 |
| Practice Fax Number | 6189987443 |
| Mailing Telephone | 6192187158 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.009197 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3333 W DEYOUNG ST |
| City | MARION |
| State | IL |
| Zip Code | 62959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007533 | New Century Physicians of Southern Illinois Inc | Emergency Medicine | 3333 W Deyoung St, Marion, IL 62959-5884 | 2005-07-15 |
| 1538774898 | Russell Craig Arendt | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-09-14 |
| 1811515984 | Medcore Diagnostics LLC | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-07-06 |
| 1942826540 | Joseph Michael Logan Oldani | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-06-19 |
| 1326662891 | Medcore Associates, Pllc | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-06-01 |
| 1235779125 | Jacob Ivey | Pharmacist | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-01-08 |
| 1528627833 | Gregory Scott Clark | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2019-06-10 |
| 1194297879 | Jessica Hays | Nurse Practitioner | 3333 W Deyoung St, Marion, IL 62959-5884 | 2018-12-19 |
| 1598240145 | Amy Jo Blandford | Nurse Practitioner | 3333 W Deyoung St, Marion, IL 62959-5884 | 2018-09-29 |
| 1306322136 | Joshua Richardson | Registered Nurse | 3333 W Deyoung St, Marion, IL 62959-5884 | 2018-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215327705 | Melo-dee Collins | Nurse Practitioner | 330 N Wabash Ave Ste 170, Marion, IN 46952-2696 | 2015-02-04 |
| 1639422355 | Brianne P Lienkamp | Nurse Practitioner | 369 Front St, Marion, MA 02738-1538 | 2012-10-18 |
| 1457567877 | Martha Amanda Rich | Nurse Practitioner | 3501 Newark Rd, Marion, NY 14505-9644 | 2007-05-15 |
| 1164645024 | Kathleen Anne Smothers | Nurse Practitioner | 59 Gypsy Mountain Rd., Marion, NC 28752-4527 | 2007-04-10 |
| 1891172870 | Jennifer Little | Nurse Practitioner | 1700 E 38th St, Marion, IN 46953-4568 | 2015-04-29 |
| 1861880601 | Cindy Dawn Evans | Nurse Practitioner | 441 N Wabash Ave, Marion, IN 46952-2612 | 2015-01-01 |
| 1326473190 | Ann Marie Gardner Hammond | Nurse Practitioner | 2293 Sugar Hill Rd Ste A, Marion, NC 28752-7787 | 2013-09-11 |
| 1295015188 | Daniel J Cimino | Nurse Practitioner | 130 University Dr Ste 1300, Marion, OH 43302 | 2011-08-23 |
| 1962708156 | Jamie Sue Lang | Nurse Practitioner | 1406 W Bella Dr, Marion, IN 46953-5229 | 2011-02-04 |
| 1932334091 | Tracy Jackson | Nurse Practitioner | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2009-05-19 |
| Find all providers in MARION | ||||
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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.