MR. SISAY BEKELE MERSHA (NPI# 1184901449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184901449 |
| Entity Type | Individual |
| Full Name | MR. SISAY BEKELE MERSHA |
| Credential | NP |
| Practice Address |
355 Ridge Avenue Evanston IL 60202 |
| Mailing Address |
6118 N Sheridan Rd Apt 104 Chicago IL 60660-8800 |
| Practice Telephone | 8473164150 |
| Mailing Telephone | 7733382818 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209008680 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
355 RIDGE AVENUE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962886390 | Pye Phyo Aung | Student in an Organized Health Care Education/Training Program | 355 Ridge Avenue, Department of Medicine, Evanston, IL 60202 | 2015-07-15 |
| 1932590965 | Margaret Yu | Student in an Organized Health Care Education/Training Program | 355 Ridge Avenue, Evanston, IL 60202 | 2015-02-12 |
| 1609120526 | Diane Latta | Physical Therapist | 355 Ridge Avenue, Evanston, IL 60202-9985 | 2012-10-30 |
| 1467707182 | Smita Singh | Internal Medicine | 355 Ridge Avenue, Medical Education, Evanston, IL 60202-3416 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1417321134 | Erica Sis | Nurse Practitioner | 1301 Central St, Evanston, IL 60201-1613 | 2015-11-18 |
| 1245839364 | Christine B Lawlor | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-20 |
| 1346612140 | Malgorzata Balaban | Nurse Practitioner | 2650 Ridge Ave, # 1223, Evanston, IL 60201-1718 | 2015-10-20 |
| 1336528678 | Frances Uy | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2015-05-20 |
| 1528480399 | Heather J Roppel | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2014-01-14 |
| 1356772636 | Francesco Joseph Umbriaco | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2013-12-11 |
| 1124363049 | Kristyn Thielen | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201 | 2012-12-04 |
| 1477897353 | Kathleen Exner | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2012-11-16 |
| 1821393208 | Jennifer Novosel | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2011-01-17 |
| Find all providers in EVANSTON | ||||
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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.