ALEXANDER DAVID PINC (NPI# 1174577225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174577225 |
| Entity Type | Individual |
| Full Name | ALEXANDER DAVID PINC |
| Credential | M.D. |
| Practice Address |
801 Illini Dr Silvis IL 61282-1804 |
| Mailing Address |
2725 8th Street Ct Moline IL 61265-5174 |
| Practice Telephone | 3097929363 |
| Mailing Telephone | 3097927056 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-104415 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 930110724 | 01 | |
| IA | BLUE CROSS BLUE SHIELD | 98651 | 01 |
| HEALTH ALLIANCE | 072074 | 01 | |
| IL | BLUE CROSS BLUE SHIELD | H38603 | 01 |
| TRICARE | H38603 | 01 |
| Street Address |
801 ILLINI DR |
| City | SILVIS |
| State | IL |
| Zip Code | 61282-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224310 | Leighton V Arcenas | Internal Medicine | 801 Illini Dr, Silvis, IL 61282-1804 | 2005-09-06 |
| 1215550066 | Ndieme Ndoye | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2020-05-27 |
| 1558996942 | Marceline Kougbani-sebou | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2020-03-06 |
| 1417417650 | Nichole R Schold | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2019-03-22 |
| 1023529252 | Payal Shah | Physician Assistant | 801 Illini Dr, Silvis, IL 61282-1804 | 2017-10-16 |
| 1295254175 | Ian Hart | Physician Assistant | 801 Illini Dr, Silvis, IL 61282-1804 | 2017-09-12 |
| 1376922930 | Muhammad Kumail Shah | Family Medicine | 801 Illini Dr, Silvis, IL 61282 | 2015-05-28 |
| 1104268622 | Pathsource Diagnostics, LLC | Pathology | 801 Illini Dr, Silvis, IL 61282-1804 | 2013-07-25 |
| 1144596743 | Samir M Mahfouz | Anesthesiology | 801 Illini Dr, Silvis, IL 61282-1804 | 2012-03-28 |
| 1164721429 | Heng Wu | Anesthesiology | 801 Illini Dr, Silvis, IL 61282-1804 | 2011-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172605 | Phyllis Cunningham | Technician | 603 2nd Ave C, Silvis, IL 61282 | 2019-09-07 |
| 1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
| 1558549469 | Bobb Chiropractic Center P.C. | Chiropractor | 813 1st Avenue, Silvis, IL 61282 | 2008-02-01 |
| 1952509846 | Jennifer Marie Jensen | Pharmacist | 1601 18th St, Silvis, IL 61282 | 2007-07-03 |
| 1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
| 1376581447 | Holly S Wilkinson | Physical Therapist | 902 Illini Drive, Silvis, IL 61282 | 2006-06-02 |
| 1831145507 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1312 John Deere Expy, Silvis, IL 61282 | 2006-05-25 |
| 1194326017 | Paul Garner | Pharmacist | 2001 5th St, Silvis, IL 61282 | 2020-11-06 |
| 1366043291 | Karen Marie Garner | Pharmacist | 2001 5th Street, Silvis, IL 61282 | 2020-11-06 |
| 1659865848 | Njl Chiropractic | Clinic/Center | 813 1st Ave, Silvis, IL 61282 | 2018-06-20 |
| Find all providers in zip 61282 | ||||
| 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 |
|---|---|---|---|---|
| 1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
| 1699081042 | Geoffrey Michael Giordano | Emergency Medicine | 801 Illini Dr, Silvis, IL 61282-1804 | 2010-08-24 |
| 1528006483 | Merrill Craig Ward | Emergency Medicine | 801 Illini Dr, Silvis, IL 61282-1804 | 2006-06-03 |
| 1366497133 | Cecil Wayne Gallops | Emergency Medicine | 801 Illini Dr, Silvis, IL 61282-1804 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
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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.