SURGICAL CLINICS LTD (NPI# 1265450134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265450134 |
| Entity Type | Organization |
| Organization Name | SURGICAL CLINICS LTD |
| Practice Address |
834 N Seminary St Suite 503 Galesburg IL 61401-2852 |
| Practice Telephone | 3093437773 |
| Practice Fax Number | 3093433839 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | MARK E DAVIS (PRESIDENT) |
| Authorized Official Telephone | 3093437773 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID NUMBER | 344670 | 01 |
| Street Address |
834 N SEMINARY ST SUITE 503 |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253646 | Jesse H Rigsby IIi | Ophthalmology | 834 N Seminary St, Ste 103, Galesburg, IL 61401-2897 | 2005-05-23 |
| 1669806600 | Elizabeth Eyler | Optometrist | 834 N Seminary St, Ste 103, Galesburg, IL 61401-2852 | 2013-08-27 |
| 1619311685 | Knox Clinic Corp | Clinic/Center | 834 N Seminary St, Suite 302 & 304, Galesburg, IL 61401-2852 | 2013-04-22 |
| 1538503503 | Knox Clinic Corp | Clinic/Center | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2013-04-22 |
| 1922383280 | Kristine M. Morland-schultz | Nurse Practitioner | 834 N Seminary St, Galesburg, IL 61401-2852 | 2011-10-19 |
| 1427366376 | Tara Lucas | Nurse Practitioner | 834 N Seminary St, Suite 502, Galesburg, IL 61401-2852 | 2010-09-14 |
| 1235444035 | Ruby Verma | Family Medicine | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2010-08-17 |
| 1386972016 | Bethany L Glaser | Physician Assistant | 834 N Seminary St, Suite 402, Galesburg, IL 61401-2852 | 2009-11-18 |
| 1134361645 | Midwest Orthopedic Services, Sc | Orthopaedic Surgery | 834 N Seminary St, Suite 406, Galesburg, IL 61401-2852 | 2009-03-30 |
| 1659510998 | Angelo Soyangco,m.d. | Internal Medicine | 834 N Seminary St, Ste 401, Galesburg, IL 61401-2852 | 2009-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
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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 |
|---|---|---|---|---|
| 1235155912 | Donald R Fisk | Surgery | 60 S Soangetaha Rd, Galesburg, IL 61401-7524 | 2006-07-14 |
| 1538252473 | Beverly L Orwig | Surgery | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-10-02 |
| 1417040320 | Marsha K Jones | Surgery | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-10-02 |
| 1154422988 | Thomas J Whittle | Surgery | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-26 |
| 1679674402 | Jerry E Mitchell | Surgery | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-26 |
| 1003927021 | Vijay K Arora | Surgery | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-08-31 |
| 1225079379 | Mark Davis | Surgery | 834 N Seminary St, Suite 503, Galesburg, IL 61401-2852 | 2006-06-09 |
| 1265481006 | Knox Clinic Corp | Surgery | 834 N Seminary St, Galesburg, IL 61401-2852 | 2006-05-09 |
| 1790770105 | Peter M Schwab | Surgery | 765 N Kellogg St, Suite 101, Galesburg, IL 61401-2875 | 2005-09-13 |
| 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.