HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC (NPI# 1215355110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215355110 |
Entity Type | Organization |
Organization Name | HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC |
Practice Address |
1 Memorial Dr Alton IL 62002-6722 |
Mailing Address |
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018 |
Practice Telephone | 6164337066 |
Practice Fax Number | 3146534088 |
Mailing Telephone | 9044463451 |
Mailing Fax Number | 9044463032 |
Enumeration Date | 2014-03-29 |
Last Update Date | 2020-03-03 |
Authorized Official Name | DAVID BASSIN (CEO) |
Authorized Official Telephone | 8556895105 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1 MEMORIAL DR |
City | ALTON |
State | IL |
Zip Code | 62002-6722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174504682 | Mary Colette Schmidt | Internal Medicine | 1 Memorial Dr, Alton, IL 62002-6722 | 2005-11-10 |
1093323131 | Alton Memorial Hospital | Clinical Medical Laboratory | 1 Memorial Dr, Alton, IL 62002-6722 | 2020-07-15 |
1295358810 | Andrew James Standefer | Registered Nurse | 1 Memorial Dr, Alton, IL 62002-6722 | 2020-05-19 |
1356988273 | Clair Laurent Visconti | Physician Assistant | 1 Memorial Dr, Alton, IL 62002-6722 | 2019-12-10 |
1932682101 | Hannah Josephine Mallets | Occupational Therapist | 1 Memorial Dr, Alton, IL 62002-6722 | 2018-09-12 |
1154826501 | Aaron D Wede | Nurse Anesthetist, Certified Registered | 1 Memorial Dr, Alton, IL 62002 | 2018-03-28 |
1841710712 | Jodi Keiko Pecka Yanagida | Internal Medicine | 1 Memorial Dr, Alton, IL 62002-6722 | 2017-06-22 |
1265960058 | Chandni Sinha | Internal Medicine | 1 Memorial Dr, Alton, IL 62002-6722 | 2017-05-24 |
1033657929 | Meredith Anne Parker | Social Worker | 1 Memorial Dr, 2nd Floor, Olin Wing, Alton, IL 62002-6722 | 2017-02-10 |
1942758081 | Brennan Malham | Physician Assistant | 1 Memorial Dr, Alton, IL 62002-6722 | 2016-09-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
Find all providers in zip 62002 |
Taxonomy Code | 2083P0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Undersea and Hyperbaric Medicine |
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
1669656054 | Jesse Robert Geibe | Preventive Medicine | 2410 Sampson St. (fisher Health Clinic/nhc-503), Naval Health Clinic Great Lakes, Great Lakes, IL 60088-2942 | 2007-12-21 |
1881065738 | Midwest Institute of Neurological Discovery, LLC | Preventive Medicine | 440 Lake Cook Rd, Deerfield, IL 60015-5242 | 2015-10-16 |
1164838371 | Sahitya Settypalli | Preventive Medicine | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2014-07-08 |
Please comment or provide details below to improve the information on HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC.
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.