DR. MICHAEL STEPHEN PAYNE JR. (NPI# 1154364347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154364347 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STEPHEN PAYNE JR. |
| Credential | MD |
| Practice Address |
800 E Carpenter St Springfield IL 62769-4564 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036147769 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 166668702 | 05 | |
| TX | 166668701 | 05 | |
| TX | BLUE CROSS OF TEXAS | 8R1524 | 01 |
| TX | 166668703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138440 | Michael Payne | Specialist/Technologist | 2010 Warrior Way, Grovetown, GA 30813-8132 | 2019-01-14 |
| 1295275980 | Michael Lewis Payne | Pharmacist | 101 Oakview Dr., Darlington, SC 29532-2509 | 2017-03-01 |
| 1568899615 | Michael Todd Payne | Respiratory Therapist, Registered | 1410 Briarcroft Ln, Lugoff, SC 29078-9202 | 2013-10-03 |
| 1225379571 | Michael Garrett Payne | Student in an Organized Health Care Education/Training Program | 608 N 63rd St, Wauwatosa, WI 53213-4176 | 2013-03-12 |
| 1417244674 | Michael Lee Payne | Dentist | 2d Denbn/ndc, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2011-07-07 |
| 1407178171 | Michael Ray Payne | Speech-Language Pathologist | 25 Max Lane Dr, Jackson, TN 38305-2815 | 2010-02-23 |
| 1699006395 | Michael W Payne | Marriage & Family Therapist | 11828 Dublin Blvd, Suite O, Dublin, CA 94568-2830 | 2010-01-19 |
| 1093947145 | Michael James Payne | Community Health Worker | 2212 1st Ave, Sound Mental Health, Ste 200, Seattle, WA 98121-1615 | 2009-08-21 |
| 1245444272 | Michael John Payne II | Dentist | 2901 Wilshire Blvd Ste 336, Santa Monica, CA 90403-4912 | 2007-05-09 |
| 1306968342 | Michael D. Payne | Dentist | 3289 N Towerbridge Way, Meridian, ID 83642-8347 | 2007-04-03 |
| Street Address |
800 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62769-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683656 | Mounir F Banoub | Anesthesiology | 800 E Carpenter St, Springfield, IL 62702-5324 | 2005-07-21 |
| 1649897315 | Karen M Stuckey | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-29 |
| 1679190581 | Natalie Kay Strope | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-26 |
| 1114542404 | Michael J Hohm | Physician Assistant | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-11 |
| 1528681145 | Steven David Sumpter | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-05-19 |
| 1679193387 | Jennifer Aumann | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1396365102 | Lauren Aileen Gregory | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1801420559 | Jia Dong | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-0002 | 2020-03-02 |
| 1790322469 | Sarah Hoppe | Occupational Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-12-02 |
| 1902442411 | Abigail Clark | Speech-Language Pathologist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921578 | Sherry Ann Jankuski | Occupational Therapist | 800 E. Carpenter St., Springfield, IL 62769 | 2006-07-27 |
| 1306129663 | Suartcha Prueksaritanond | Internal Medicine | 800 E Carpenter Street Hshs Medical Group Inc, Springfield, IL 62769-0001 | 2011-09-23 |
| 1114213188 | Tiffany Nicole Cavoretto | Dietitian, Registered | 800 E Capenter St, Springfield, IL 62769-0001 | 2011-06-28 |
| 1245416536 | Mary T Peter | Radiology | Springfield Radiologists St Johns Hospital, 800 E. Carpenter Street, Springfield, IL 62769-0001 | 2008-01-16 |
| 1922282169 | Mary Anne Raab | Physical Therapist | St John's Hospital, 800 East Carpenter, Springfield, IL 62769-0001 | 2007-12-24 |
| 1407030745 | Joan Hildebrand | Speech-Language Pathologist | St John's Hospital Pedi Rehab, 800 E. Carpenter, Springfield, IL 62769-0001 | 2007-12-21 |
| 1265654164 | Nzeadibenma O Uzochukwu | Radiology | 800 Carpenter St, Springfield, IL 62769-0001 | 2007-05-02 |
| 1649499237 | Dennis Goldberg | Emergency Medicine | 800 E Carpenter St Emergency Dept, Springfield, IL 62769-0001 | 2007-04-24 |
| 1609093632 | Michael Young | Radiology | St Johns Hospital, 800 East Carpenter St., Springfield, IL 62769-0001 | 2007-04-19 |
| 1558400358 | Simon Vladimir Bekker | Radiology | Springfield Radiologists S C, 800 East Carpenter Street, Springfield, IL 62769-0001 | 2007-02-06 |
| Find all providers in zip 62769 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
| 1316961576 | Carlos A. Perez | Radiology | 2055 S Fremont, Springfield, MO 65804 | 2006-07-27 |
| 1023098209 | Linda Esther Bornstein | Radiology | 3350 Main St, Springfield, MA 01107-1112 | 2006-01-22 |
| 1376533927 | Hyewon Helen Kim | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2005-10-25 |
| 1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
| 1316342090 | Oncology Hematology Care, Inc. | Radiology | 148 W North St, Springfield, OH 45504-2547 | 2014-10-24 |
| 1992124531 | Simon Aaron Brown | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-10 |
| 1306265327 | Adrianna Henson Masters | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-08 |
| 1811284375 | Nathan Yennumi Tonlaar | Radiology | 2055 S Fremont Ave, Mercy Clinic Radiation Oncology, Chaub O'reilly Center, Springfield, MO 65804-2206 | 2011-07-06 |
| 1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62769 |
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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.