DR. ANTHONY MITCHELL ELGER (NPI# 1114363579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114363579 |
Entity Type | Individual |
Full Name | DR. ANTHONY MITCHELL ELGER |
Credential | DMD |
Practice Address |
109 N Regency Dr Bloomington IL 61701-3515 |
Practice Telephone | 3096632526 |
Practice Fax Number | 3096634788 |
Mailing Telephone | 3096632526 |
Mailing Fax Number | 3096634788 |
Enumeration Date | 2013-05-13 |
Last Update Date | 2019-08-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
01902926 | IL | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
01902926 | IL | Dental Providers |
Street Address |
109 N REGENCY DR |
City | BLOOMINGTON |
State | IL |
Zip Code | 61701-3515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710985759 | Drs Doran Capodice Efaw & Ocheltree LLC | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-07-13 |
1205892973 | Thomas Charles Ocheltree Jr. | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2006-04-21 |
1700862877 | David Efaw | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-12-20 |
1376529750 | Stephen N Doran | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-12-19 |
1053397612 | Jack Capodice Jr. | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
Find all providers in zip 61701 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568878270 | Austin Starr | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2014-07-02 |
1669533964 | Richard J Claydon | Dentist | 107 S Prospect, Bloomington, IL 61704 | 2006-12-12 |
1528166097 | Scott Eric Tate | Dentist | 637 S Walker St, Ste 1, Bloomington, IN 47403-2154 | 2006-09-20 |
1497798136 | Thomas W Gibbs | Dentist | 857 Auto Mall Rd, Bloomington, IN 47440-5447 | 2006-06-13 |
1164475323 | Timothy J Devitt | Dentist | 1116 S College Mall Rd, Bloomington, IN 47401-6178 | 2006-05-18 |
1760461339 | South Central Oral & Maxillofacial Surgery, LLC | Dentist | 2911 E Covenanter Dr, Suite B, Bloomington, IN 47401-6320 | 2006-01-12 |
1710985759 | Drs Doran Capodice Efaw & Ocheltree LLC | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-07-13 |
1356978753 | Starr Oral & Maxillofacial Surgery, LLC | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2020-03-25 |
1891350575 | Bloomington Oral Surgery | Dentist | 1116 S College Mall Rd, Bloomington, IN 47401-6178 | 2019-05-07 |
1841505252 | Bloomington Oral Surgery LLC | Dentist | 857 S Auto Mall Rd, Bloomington, IN 47401-5447 | 2010-08-10 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61701 |
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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.