MITCHELL LOUIS HEUERMANN (NPI# 1295227783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295227783 |
| Entity Type | Individual |
| Full Name | MITCHELL LOUIS HEUERMANN |
| Credential | MD |
| Practice Address |
720 N Bond St Springfield IL 62702 |
| Mailing Address |
Po Box 19662 Springfield IL 62794-9662 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175456544 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175456544 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 125071931 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
720 N BOND ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790705507 | Siu Physicians & Surgeons, Inc | Orthopaedic Surgery | 720 N Bond St, Springfield, IL 62702-4952 | 2006-07-21 |
| 1528680964 | Noor-e-seher Ali | Otolaryngology | 720 N Bond St, Springfield, IL 62702-4952 | 2020-05-08 |
| 1477175982 | Jillian Michelle Bleck | Otolaryngology | 720 N Bond St, Springfield, IL 62702-4952 | 2020-05-07 |
| 1942849096 | Siu Physicians & Surgeons, Inc | Durable Medical Equipment & Medical Supplies | 720 N Bond St, Springfield, IL 62702-4952 | 2020-01-06 |
| 1750926077 | Amanda Joann Mcdannald | Nurse Practitioner | 720 N Bond St, Springfield, IL 62702-4952 | 2019-11-11 |
| 1871152397 | Spencer Dane Uetz | Otolaryngology | 720 N Bond St, Springfield, IL 62702-4952 | 2019-06-08 |
| 1265917371 | Evans M Mutua | Nurse Practitioner | 720 N Bond St, Springfield, IL 62702-4952 | 2018-09-25 |
| 1467947366 | Guillermo Maza Malave | Otolaryngology | 720 N Bond St, Springfield, IL 62702-4952 | 2018-06-25 |
| 1336304856 | Arun Sharma | Otolaryngology | 720 N Bond St, Springfield, IL 62702-4952 | 2008-07-24 |
| 1932361169 | Pardis Javadi | Otolaryngology | 720 N Bond St, Springfield, IL 62702-4952 | 2008-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1194157511 | Harvey Thomas Staton | Otolaryngology | 3115 Henderson Ct, Springfield, OH 45503-1307 | 2013-08-08 |
| 1114052784 | Robert H Osofsky Md PC | Otolaryngology | 299 Carew St., Suite 330, Springfield, MA 01104 | 2007-02-22 |
| 1760552897 | Doctors Hearing Center LLC Xiv | Otolaryngology | 628 Commercial Street, Springfield, MO 75803 | 2006-11-08 |
| 1598875676 | Eric Furst | Otolaryngology | 5504 Backlick Rd, Springfield, VA 22151 | 2006-08-30 |
| 1831113919 | Michelle M Roeser | Otolaryngology | 8314 Traford Ln, C, Springfield, VA 22152-1651 | 2006-07-26 |
| 1952347254 | Carl E Reiner | Otolaryngology | 100 E Wason Avenue, Suite 100, Springfield, MA 01107 | 2006-06-22 |
| 1316910714 | Springfield Hospital | Otolaryngology | 364 River St, Springfield, VT 05156 | 2006-02-08 |
| 1851362289 | Michael B Duvall | Otolaryngology | 435 South Burnett Road, Springfield, OH 45505-2717 | 2006-02-01 |
| 1053382689 | Ear, Nose and Throat of Springfield, Inc | Otolaryngology | 435 S Burnett Rd, Springfield, OH 45505-2717 | 2006-01-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.