TERRY BALAGNA (NPI# 1114022183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114022183 |
| Entity Type | Individual |
| Full Name | TERRY BALAGNA |
| Credential | M.D. |
| Practice Address |
2300 N Edward St Decatur IL 62526-4163 |
| Mailing Address |
Po Box 587 Decatur IL 62525-0587 |
| Practice Telephone | 2178763000 |
| Mailing Telephone | 8008153365 |
| Mailing Fax Number | 6313214235 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 05823820 | 01 |
| IL | 036073894-2 | 05 | |
| IL | HEALTH LINK | 273601 | 01 |
| Street Address |
2300 N EDWARD ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829886 | Tansel Turgut | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2005-05-24 |
| 1215538004 | Jordanna Ruth Wilton | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2020-11-06 |
| 1366054116 | Stephanie Nicole Blaha | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-08-21 |
| 1861028193 | Angelina Marie Thomas | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-03-18 |
| 1114550944 | Chelsey M Clark | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-02-20 |
| 1942857735 | Jessica Oranika | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-26 |
| 1003463225 | Jason Grauer | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2019-08-22 |
| 1780239434 | Maggie Kaye Matthews | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-08 |
| 1871052522 | Michelle Caroline Kronmiller | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-03-12 |
| 1013474097 | Brittney L Jeffery | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1881089993 | Tony Bullon | Emergency Medicine | 1834 Clairmont Rd Ste 100, Decatur, GA 30033 | 2015-04-06 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1427347681 | Constance Shamuyarira Richards | Emergency Medicine | 307 Adair St, Unit F3, Decatur, GA 30030-2958 | 2011-03-28 |
| 1669618310 | Northern Alabama Physicians, LLP | Emergency Medicine | 1201 7th Street Southeast, Decatur, AL 35601-3303 | 2008-12-31 |
| 1215190772 | Stephanie Nicole Scott | Emergency Medicine | 225 Shadowmoor Dr, Decatur, GA 30030-3850 | 2008-07-05 |
| 1639239825 | Michael Anthony Herron | Emergency Medicine | 1501 Richard Stokes Dr, Decatur, GA 30033 | 2006-12-11 |
| 1053412908 | Richard Edward Wild | Emergency Medicine | 1275 Oak Grove Dr, Decatur, GA 30033-2737 | 2006-09-25 |
| 1730283201 | Jerry Edward Robbins II | Emergency Medicine | 2941 Point Mallard Pkwy Se Ste N, Decatur, AL 35603-5760 | 2006-09-12 |
| 1649297656 | Dahlia Hassani | Emergency Medicine | 1010 Scott Blvd, A8, Decatur, GA 30030-1312 | 2006-07-16 |
| 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.