MCDONOUGH COUNTY HOSPITAL DISTRICT (NPI# 1235383951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235383951 |
Entity Type | Organization |
Organization Name | MCDONOUGH COUNTY HOSPITAL DISTRICT |
Other Organization Name | MCDONOUGH DISTRICT HOSPITAL SURGICAL GROUP |
Practice Address |
515 E Grant St Suite 211 Macomb IL 61455-3368 |
Mailing Address |
505 E Grant St Suite 302 Macomb IL 61455-3352 |
Practice Telephone | 3098333706 |
Practice Fax Number | 3098361039 |
Mailing Telephone | 3098332868 |
Enumeration Date | 2008-11-07 |
Last Update Date | 2009-12-16 |
Authorized Official Name | MR. STEPHEN R HOPPER (CEO) |
Authorized Official Telephone | 3098334101 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 036060998 | IL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
McDonough District Hospital Surgical Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841386190 | Mcdonough County Hospital District | Skilled Nursing Facility | 525 E. Grant, Macomb, IL 61455-3313 | 2006-10-05 |
1770100414 | Mcdonough County Hospital District | Clinic/Center | 505 E Grant St Ste 202, Macomb, IL 61455-3373 | 2020-06-29 |
1235755372 | Mcdonough County Hospital District | Clinic/Center | 515 E Grant St Ste 213, Macomb, IL 61455-3378 | 2020-06-24 |
1780192013 | Mcdonough County Hospital District | Podiatrist | 437 E Grant St, Macomb, IL 61455-3311 | 2018-01-22 |
1770974909 | Mcdonough County Hospital District | Psychiatric Unit | 525 E Grant St, Macomb, IL 61455-3313 | 2015-02-10 |
1851705370 | Mcdonough County Hospital District | General Acute Care Hospital | 525 E Grant St, Macomb, IL 61455-3313 | 2014-06-12 |
1881032985 | Mcdonough County Hospital District | Otolaryngology | 515 E Grant St, Macomb, IL 61455-3368 | 2013-06-11 |
1992041511 | Mcdonough County Hospital District | Family Medicine | 155 W Hail St, Bushnell, IL 61422-1346 | 2012-12-31 |
1356698310 | Mcdonough County Hospital District | Pediatrics | 505 E Grant St, Suite 202, Macomb, IL 61455-3352 | 2012-08-09 |
1093083511 | Mcdonough County Hospital District | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2011-12-12 |
Street Address |
515 E GRANT ST SUITE 211 |
City | MACOMB |
State | IL |
Zip Code | 61455-3368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114922044 | Khaled A Dabash | Pediatrics | 515 E Grant St, Macomb, IL 61455-3368 | 2005-06-16 |
1578194965 | Brittany Ann Cromer | Registered Nurse | 515 E Grant St, Suite 213, Macomb, IL 61455 | 2020-02-04 |
1407300627 | Kamie Dee Mckee | Nurse Practitioner | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2016-08-04 |
1881032985 | Mcdonough County Hospital District | Otolaryngology | 515 E Grant St, Macomb, IL 61455-3368 | 2013-06-11 |
1780935197 | Jeffrey Ryan Sparks | Otolaryngology | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2012-09-25 |
1245526680 | Weili Zhang | Family Medicine | 515 E Grant St, Suite 213, Macomb, IL 61455-3368 | 2011-06-23 |
1568789618 | Mcdonough County Hospital District | Family Medicine | 515 E Grant St, Macomb, IL 61455-3368 | 2010-04-29 |
1255504627 | James Joseph Gonzales | Surgery | 515 E Grant St, Ste 211, Macomb, IL 61455-3368 | 2008-04-08 |
1568519809 | Robyn Alley-hay, M.d. Woman To Woman | Obstetrics & Gynecology | 515 E Grant St, Suite 112, Macomb, IL 61455-3368 | 2007-01-05 |
1194750950 | Ronald E Whitley | Surgery | 515 E Grant St, Suite 211, Macomb, IL 61455-3368 | 2006-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
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Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487995106 | Corie Louise Seelbach | Surgery | 17375 Hall Rd, Macomb, MI 48044 | 2013-03-05 |
1255504627 | James Joseph Gonzales | Surgery | 515 E Grant St, Ste 211, Macomb, IL 61455-3368 | 2008-04-08 |
1700984200 | Northeast Surgical Group PC | Surgery | 17375 Hall Rd, Macomb, MI 48044-4060 | 2006-09-20 |
1194750950 | Ronald E Whitley | Surgery | 515 E Grant St, Suite 211, Macomb, IL 61455-3368 | 2006-07-11 |
1568468015 | Edwin L Card | Surgery | 515 E Grant St, Suite 211, Macomb, IL 61455-3368 | 2005-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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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.