DR. JO ANN ARCHEY (NPI# 1104831627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104831627 |
| Entity Type | Individual |
| Full Name | DR. JO ANN ARCHEY |
| Credential | M.D. |
| Practice Address |
209 W Borman Dr Rantoul IL 61866-3632 |
| Mailing Address |
101 W University Ave Champaign IL 61820-3909 |
| Practice Telephone | 2178929671 |
| Practice Fax Number | 2178922530 |
| Mailing Telephone | 2173668107 |
| Mailing Fax Number | 2173666106 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-110125 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00129449 | 01 |
| IL | 036110125 1 | 05 | |
| IL | MEDICARE GROUP | 279500 | 01 |
| Street Address |
209 W BORMAN DR |
| City | RANTOUL |
| State | IL |
| Zip Code | 61866-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831411941 | Erin Christine Kelly | Speech-Language Pathologist | 722 Stonebridge Center Rd, Rantoul, IL 61866 | 2010-02-17 |
| 1245489855 | Preferred Care LLC | Assisted Living Facility | 200 International Drive, Rantoul, IL 61866 | 2008-09-18 |
| 1114175577 | Robert Foy Robinson | Dentist | 700 E Grove Av, Dr Robert F. Robinson, Rantoul, IL 61866 | 2008-08-28 |
| 1093911927 | Wal-mart Stores, Inc. | Technician/Technologist | 416 S Murray, Rantoul, IL 61866 | 2007-06-26 |
| 1790700110 | Bruce W Kaplan | Family Medicine | 1540 E. Grove Street, Rantoul, IL 61866 | 2006-07-13 |
| 1922455302 | Rosecrance Inc | Clinic/Center | 1300 Crane Ave, Rantoul, IL 61866 | 2016-05-16 |
| 1518339167 | Prairie Village Supportive Living LLC | Alzheimer Center (Dementia Center) | 200 International Drive, Rantoul, IL 61866 | 2015-10-22 |
| 1548347263 | Naser Jahanbiglar | Physician Assistant | 1540 E. Grove Street, Rantoul, IL 61866 | 2006-11-01 |
| 1609895499 | Thomas L Franzen | Family Medicine | 1540 E. Grove Street, Rantoul, IL 61866 | 2006-07-19 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| Find all providers in zip 61866 | ||||
| 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 |
|---|---|---|---|---|
| 1306865605 | Frances K. Kramer | Family Medicine | 1540 E Grove Ave, Rantoul, IL 61866-2736 | 2006-07-18 |
| 1790700110 | Bruce W Kaplan | Family Medicine | 1540 E. Grove Street, Rantoul, IL 61866 | 2006-07-13 |
| 1356625362 | Erich N Slocum | Family Medicine | 1540 E. Grove Street, Rantoul, IL 61866-2736 | 2011-10-10 |
| 1609895499 | Thomas L Franzen | Family Medicine | 1540 E. Grove Street, Rantoul, IL 61866 | 2006-07-19 |
| 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.