DR. MICHAEL JOSEPH FALLON (NPI# 1184623381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184623381 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH FALLON |
| Credential | MD |
| Practice Address |
3301 Broadway St Quincy IL 62301-3713 |
| Mailing Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 2172774070 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-06-15 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 197667 | NY | Other Service Providers |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036153253 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02164501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 169 Riverside Dr, Binghamton, NY 139054246 | 6077985230 | 6077986720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718675 | Michael Joseph Fallon | Massage Therapist | 292 Brettonwoods Dr, Coram, NY 11727-3686 | 2020-04-12 |
| 1780118299 | Michael William Fallon Iv | Student in an Organized Health Care Education/Training Program | 4482 Chelise Hamlet Rd, Syracuse, NY 13215-9668 | 2017-04-12 |
| 1457341810 | Michael A Fallon | Orthopaedic Surgery | 1720 Murchison Dr, El Paso, TX 79902-2921 | 2005-10-26 |
| 1245494194 | Michael J Fallon | Pharmacist | 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792-0001 | 2008-07-10 |
| 1265520613 | Michael William Fallon IIi | Dentist | 5109 W Genesee St, Suite 105, Camillus, NY 13031-2352 | 2006-10-11 |
| 1629163613 | Michael Brouse Fallon | Internal Medicine | 6411 Fannin St, 1 Jones Suite 400, Houston, TX 77030-1501 | 2006-10-04 |
| 1306854112 | Michael Peter Fallon | Emergency Medicine | 605 Parfet St, Lakewood, CO 80215-5576 | 2006-08-04 |
| Street Address |
3301 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770614570 | Quincy Physicians & Surgeons Clinic, Sc | Clinical Medical Laboratory | 3301 Broadway St, Quincy, IL 62301 | 2007-03-07 |
| 1417914623 | William Mizikar | Anesthesiology | 3301 Broadway St, Quincy, IL 62301-3713 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| 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 |
|---|---|---|---|---|
| 1427056043 | Claire Y Fung | Radiology | 10 Willard St, Quincy, MA 02169-1281 | 2005-07-08 |
| 1467459321 | Harold Barthold | Radiology | 700 Congress St, Suite 101, Quincy, MA 02169-0909 | 2005-07-06 |
| 1679570865 | Young Woo Yu | Radiology | Broadway At 11th Street, Blessing Hospital, Quincy, IL 62301 | 2005-07-01 |
| 1114471737 | Blessing Hospital | Radiology | 1005 Broadway St, Quincy, IL 62301-2834 | 2016-08-11 |
| 1053308825 | Robert C Johnson | Radiology | 1005 Broadway St, Quincy, IL 62301-2834 | 2005-10-05 |
| 1851398598 | Mark Sunung Khil | Radiology | 1005 Broadway St, Quincy, IL 62301-2834 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
| 1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
| 1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
| 1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
| 1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
| 1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
| 1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
| 1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
| 1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
| 1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL JOSEPH FALLON.
| 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.