DR. DRU D. HAUTER (NPI# 1255353660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255353660 |
| Entity Type | Individual |
| Full Name | DR. DRU D. HAUTER |
| Credential | M.D. |
| Practice Address |
1437 E College Ave Normal IL 61761-2085 |
| Mailing Address |
Po Box 2451 Bloomington IL 61702-2451 |
| Practice Telephone | 3094544411 |
| Practice Fax Number | 3094516951 |
| Mailing Telephone | 3092682172 |
| Mailing Fax Number | 3092683649 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 5715395 | 01 |
| Street Address |
1437 E COLLEGE AVE |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114945912 | Marlito P. Favila | Internal Medicine | 1437 E College Ave, Normal, IL 61761-2085 | 2006-07-18 |
| 1295826675 | Michael R. Mustard | Family Medicine | 1437 E College Ave, Normal, IL 61761-2085 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1710070289 | Phoebe Panopio | Internal Medicine | 2010 Jacobssen Drive, Normal, IL 61761 | 2006-10-02 |
| 1114945912 | Marlito P. Favila | Internal Medicine | 1437 E College Ave, Normal, IL 61761-2085 | 2006-07-18 |
| 1689672859 | William John Ray | Internal Medicine | 2005 Jacobssen Dr, Ste A, Normal, IL 61761 | 2005-07-12 |
| 1982045209 | Gurpreet Singh | Internal Medicine | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2013-07-15 |
| 1356634547 | Marwa El Mourabet | Internal Medicine | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2011-05-19 |
| 1336384460 | Muhammad S Akhtar | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2008-12-03 |
| 1881840080 | Liza Carolina Yambay Valiente | Internal Medicine | 1302 Franklin Ave, Suite 1100, Normal, IL 61761-3551 | 2008-08-07 |
| 1033372727 | Robert Edward Clark | Internal Medicine | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2008-07-03 |
| 1912928805 | Caroline M. Halperin | Internal Medicine | 1302 Franklin Ave Lowr Level, Normal, IL 61761-3551 | 2006-07-23 |
| 1306807730 | Glenn L Weiss | Internal Medicine | College and University 2540, Normal, IL 61790-2540 | 2006-03-28 |
| Find all providers in NORMAL | ||||
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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.