MADISON STAGMAN (NPI# 1164047239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164047239 |
| Entity Type | Individual |
| Full Name | MADISON STAGMAN |
| Practice Address |
280 Douglas Ave Apt 4 Mascoutah IL 62258-2963 |
| Practice Telephone | 6083793304 |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2020-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
280 DOUGLAS AVE APT 4 |
| City | MASCOUTAH |
| State | IL |
| Zip Code | 62258-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376683193 | Randy A Parmlee | Dentist | 104 E Main, Mascoutah, IL 62258 | 2007-02-08 |
| 1639263585 | Jessi Weber | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-10-03 |
| 1750334587 | Lisa Woodrome | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-05-19 |
| 1114970688 | Evers Pharmacy Inc | Pharmacy | 16 E Main St, Mascoutah, IL 62258 | 2006-05-18 |
| 1528011277 | Heidi Calvert | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-05-17 |
| 1366431447 | Grange Nursing Home | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2005-10-20 |
| 1184266090 | Aperion Care Mascoutah LLC | Durable Medical Equipment & Medical Supplies | 901 N 10th St, Mascoutah, IL 62258-1017 | 2019-10-11 |
| 1013431824 | Aperion Care Mascoutah LLC | Durable Medical Equipment & Medical Supplies | 901 N 10th St, Mascoutah, IL 62258-1017 | 2017-08-02 |
| 1386925535 | Terrace On The Park, LLC | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2011-09-01 |
| 1881844504 | Jana Ann Rapp | Occupational Therapist | 901 N 10th St, Mascoutah, IL 62258-1017 | 2008-09-30 |
| Find all providers in zip 62258 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
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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.