MS. JULIE MARIE PRESTON (NPI# 1306026224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306026224 |
Entity Type | Individual |
Full Name | MS. JULIE MARIE PRESTON |
Credential | PA-C |
Practice Address |
1 Memorial Dr Physcians Plaza East Ste 110 Decatur IL 62526-6303 |
Mailing Address |
3798 E. Fulton Ave Decatur IL 62521 |
Practice Telephone | 2174222442 |
Practice Fax Number | 2174249431 |
Mailing Telephone | 2178642700 |
Mailing Fax Number | 2178643930 |
Enumeration Date | 2007-11-08 |
Last Update Date | 2010-07-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
385000284 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508933540 | Julie Lynn Preston | Chiropractor | 1494 S Arlington Rd Ste B, Akron, OH 44306 | 2006-11-28 |
1831387026 | Julie Ann Preston | Occupational Therapy Assistant | 440 Minot Ave, Auburn, ME 04210-4332 | 2007-10-12 |
1457490898 | Julie A Preston | Physician Assistant | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 | 2007-02-05 |
1255489514 | Julie Lynn Preston | Optometrist | 338 W 10th Ave, Columbus, OH 43210-1280 | 2007-01-05 |
Street Address |
1 MEMORIAL DR PHYSCIANS PLAZA EAST STE 110 |
City | DECATUR |
State | IL |
Zip Code | 62526-6303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891058566 | Mamatha Moodalagiriaiah | Obstetrics & Gynecology | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2012-06-19 |
1124327598 | Women's Health Care Specialists of Decatur, LLC | Obstetrics & Gynecology | 1 Memorial Dr, Physicians Plaza East, Suite 216, Decatur, IL 62526-6303 | 2011-03-23 |
1437465325 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1 Memorial Dr, Physicians Plaza East, Suite 300, Decatur, IL 62526-6303 | 2010-08-30 |
1255647962 | Kathy J Schafer | Nurse Practitioner | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2010-08-19 |
1659531903 | Pierre Michael Johnson | Obstetrics & Gynecology | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2008-06-11 |
1396897526 | Decatur Obgyn Associates, LLC | Obstetrics & Gynecology | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2007-01-17 |
1629139266 | Andrea Tirpak | Nurse Practitioner | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2006-12-13 |
1558470690 | Gregory L Totel | Internal Medicine | 1 Memorial Dr, Suite 201, Decatur, IL 62526-6303 | 2006-08-30 |
1992724553 | Jordan S Youngerman | Specialist | 1 Memorial Dr, Suite 110, Decatur, IL 62526-6303 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
1073904181 | Nathan Potter | Physician Assistant | 798 Larry Ln, Decatur, GA 30033-4817 | 2015-02-11 |
1932467479 | Shannon L Hill | Physician Assistant | 1074 Ashbury Dr, Decatur, GA 30030-4165 | 2012-05-02 |
1578754792 | John Cicero Crawford II | Physician Assistant | 3941 John Hopkins Ct, Decatur, GA 30034-5709 | 2007-08-05 |
1437299773 | Barbar A Young | Physician Assistant | 3290 Memorial Dr Ste B3, Decatur, GA 30032-3400 | 2007-02-07 |
1992842595 | Veronica G Dockery | Physician Assistant | 346 N. Main St, Decatur, AR 72722-0735 | 2007-01-31 |
1649344938 | Telicia Dequai Scott | Physician Assistant | 4153b Flat Shoals Pkwy Ste 200, Decatur, GA 30034-4189 | 2006-11-20 |
1699773234 | Joanne Gilby Beer | Physician Assistant | 3292 Mountain Dr Ste A, Decatur, GA 30032-1102 | 2005-07-08 |
1871063263 | Paige Birge | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2018-11-28 |
Find all providers in DECATUR |
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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.