DR. MARTIN MUSUMBI (NPI# 1215185699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215185699 |
| Entity Type | Individual |
| Full Name | DR. MARTIN MUSUMBI |
| Credential | M.D. |
| Practice Address |
211 S 3rd St Belleville IL 62220-1915 |
| Practice Telephone | 6182342120 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2013-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2008025806 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036.132705 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
211 S 3RD ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397319 | Ravi Kumar | Specialist | 211 S 3rd St, Belleville, IL 62220-1915 | 2005-06-21 |
| 1720590045 | Cep America - Illinois Snf, LLP | Internal Medicine | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-10-26 |
| 1336670454 | Therese Krause | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-03-21 |
| 1578920591 | Paul Lee | Registered Nurse | 211 S 3rd St, Operating Room, Belleville, IL 62220-1915 | 2016-01-21 |
| 1417326430 | Lynlee Barnhart | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-09-21 |
| 1518346634 | Jared Sheley | Pharmacist | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-05-21 |
| 1952792665 | Tracie Kloeppel | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-02-17 |
| 1184022352 | Kristopher Clements | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-12-19 |
| 1518362946 | Amanda Patterson | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-10-28 |
| 1194124032 | Sharon Faye Haege | Registered Nurse | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386002368 | Cep America Illinois Intensivists | Internal Medicine | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2016-02-04 |
| 1104075035 | Yashaswi S Belvadi | Internal Medicine | 211 S 3rd St, Belleville, IL 62220-1915 | 2008-09-16 |
| 1780735308 | Barbara Ann Sudholt | Internal Medicine | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861970626 | Suburban Pulmonary & Critical Care Assoc, Inc | Internal Medicine | 3 Erie Ct Ste 7010, Oak Park, IL 60302-2519 | 2018-08-03 |
| 1265883441 | Kunal H. Patel | Internal Medicine | 9600 Gross Point Rd. Im/icu Hospitalists, Skokie, IL 60076-1900 | 2016-06-28 |
| 1760896633 | Zohaib Akhtar | Internal Medicine | 301 S Park Ave, Herrin, IL 62948-3603 | 2014-06-18 |
| 1699187344 | Said Abuhasna | Internal Medicine | 800 Biesterfield Rd Ste 105, Elk Grove Village, IL 60007-3372 | 2014-05-29 |
| 1053678755 | Nida Junaid | Internal Medicine | 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | 2012-04-18 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1225340045 | Praveen R. Anegondhi Sudhindra | Internal Medicine | 5401 N Knoxville Ave Ste 412b, Peoria, IL 61614-5082 | 2010-07-09 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1568789485 | Suleman A Umar | Internal Medicine | 4440 W 95th St Rm 190s, Oak Lawn, IL 60453-2600 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.