MR. DONALD PAUL PRENTISS JR. (NPI# 1275617839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275617839 |
| Entity Type | Individual |
| Full Name | MR. DONALD PAUL PRENTISS JR. |
| Credential | M.D. |
| Practice Address |
1221 N Highland Ave Aurora IL 60506-1404 |
| Mailing Address |
1870 W Galena Blvd Aurora IL 60506-4356 |
| Practice Telephone | 6308598700 |
| Mailing Telephone | 6308596700 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01074235A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036-096029 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | K8818 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER NUMBER | 0072GK | 01 |
| IN | LICENSE NUMBER | 01074235A | 01 |
| IL | BCBS# | 04515143 | 01 |
| TX | AETNA PROVIDER NUMBER | 7258113 | 01 |
| IL | 036096029 | 05 | |
| TX | LICENSE NUMBER | K8818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205227766 | Donald Eugene Prentiss Jr. | Technician, Pathology | 10713 N Ranch Road 620, Bldg E Ste 525, Austin, TX 78726-1756 | 2015-02-05 |
| Street Address |
1221 N HIGHLAND AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60506-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763955 | Sudhir S Sekhon | Internal Medicine | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2005-07-11 |
| 1578124103 | Megan Lynn Corrigan | Audiologist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2019-06-25 |
| 1992280507 | Andrea Williams | Nurse Practitioner | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2018-09-28 |
| 1922507268 | Amy Fabrizius | Specialist/Technologist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2018-02-01 |
| 1770093114 | Advocate Home Care Products, Inc | Durable Medical Equipment & Medical Supplies | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2017-10-11 |
| 1497285506 | Ellen Butz | Physical Therapist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2017-06-13 |
| 1275076788 | Annette Gwozdz | Specialist/Technologist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2016-12-01 |
| 1316497332 | Mary Elizabeth O'donnell | Physician Assistant | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2016-10-13 |
| 1922452432 | Sylwia Smutny | Psychologist | 1221 N Highland Ave, Aurora, IL 60506 | 2016-04-20 |
| 1780059170 | Dreyer Clinic, Inc | Clinic/Center | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2015-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| 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 |
|---|---|---|---|---|
| 1316508856 | Daniel Eduardo Espina | Surgery | 12631 E 17th Ave # 6117, Aurora, CO 80045-2527 | 2019-06-25 |
| 1508388166 | Sristi Sharma | Surgery | 12631 E. 17th Ave., C302, Aurora, CO 80045 | 2017-07-14 |
| 1538538954 | Home Care Travel Docs Inc | Surgery | 519 W Downer Pl, Suite 414, Aurora, IL 60506-5036 | 2015-09-15 |
| 1386910669 | Cordelie Elizabeth Witt | Surgery | 12631 E. 17th Avenue, Room 5401, Mail Stop C-291, Aurora, CO 80045 | 2012-03-30 |
| 1407167695 | Jose Luis Diaz-miron | Surgery | 12631 E 17th Ave Rm 6111, Aurora, CO 80045-2527 | 2010-06-23 |
| 1568788594 | Patrick Sean Duffy | Surgery | 12631 E 17th Ave Ste C313, Aurora, CO 80045-2728 | 2010-04-15 |
| 1124340682 | Frank Leroy Frable | Surgery | 412 Sunnyside Avenue, Aurora, IN 47001-1526 | 2010-02-24 |
| 1104055128 | Vicente Valero IIi | Surgery | 12631 E 17th Ave Rm 5401, Mail Stop C-291, Aurora, CO 80045-2527 | 2009-07-12 |
| 1295977577 | Kirsten Ann Freeman | Surgery | 12631 E. 17th Place, Aurora, CO 80045 | 2009-04-01 |
| 1457523441 | Southeast Denver Acute Surgical Consultants,llc | Surgery | 17354 E Weaver Dr, Aurora, CO 80016-3189 | 2008-03-31 |
| Find all providers in AURORA | ||||
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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.