DR. DAVID MAYOR (NPI# 1184684565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184684565 |
| Entity Type | Individual |
| Full Name | DR. DAVID MAYOR |
| Credential | MD |
| Practice Address |
1 Kish Hospital Dr Dekalb IL 60115-9602 |
| Practice Telephone | 8157482972 |
| Mailing Telephone | 8157482972 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036064974 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036064974 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135189 | David Lee Mayor II | Orthopaedic Surgery | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2011-08-11 |
| Street Address |
1 KISH HOSPITAL DR |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626194 | Connie M Bruch-harrison | Anesthesiology | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2005-08-10 |
| 1891394417 | Olivia Burton | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-10-23 |
| 1962019687 | Helen Elizabeth Rayburn | Registered Nurse | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-09-27 |
| 1932715570 | Julie Renee Long | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-09-18 |
| 1346878451 | Allison Smith | Nurse Anesthetist, Certified Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-04-01 |
| 1679118301 | Kelly P Lopez | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-11-18 |
| 1366095333 | Godwin Roy Esquillo Flores | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-07-18 |
| 1275186330 | Melissa Romano | Dietitian, Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-07-18 |
| 1932666385 | Rebecca Andrews | Dietitian, Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-02-21 |
| 1093214249 | Cassandra Katzenberger | Registered Nurse | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
| 1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
| 1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
| 1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
| 1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
| 1306098231 | Robert Dietz Tetik | Emergency Medicine | 2272 95th St Ste 106, Naperville, IL 60564-8942 | 2008-10-22 |
| 1831384643 | Primus Trauma Care LLC | Emergency Medicine | 1304 Franklin Avenue, Normal, IL 61761 | 2007-09-14 |
| 1245355411 | Pekin Memorial Hospital | Emergency Medicine | 600 So 13th Street, Pekin, IL 61554-4969 | 2007-03-20 |
| 1396879268 | Nanci A Cherry | Emergency Medicine | 7419 Bell Harbour Dr, Rockford, IL 61114-6600 | 2007-03-15 |
| 1972609782 | Jennifer Lynn Webb | Emergency Medicine | 15730 Robert Louis Dr, Plainfield, IL 60544-2146 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID MAYOR.
| 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.