CHRISTINA L MIDKIFF (NPI# 1306825856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306825856 |
| Entity Type | Individual |
| Full Name | CHRISTINA L MIDKIFF |
| Credential | M.D. |
| Practice Address |
2023 Vadalabene Dr Ste 200 Maryville IL 62062-5631 |
| Practice Telephone | 6182887408 |
| Practice Fax Number | 6182887418 |
| Mailing Telephone | 6182887408 |
| Mailing Fax Number | 6182887418 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 036097885 | IL | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036097885 | IL | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
036097885 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036097885 | 05 | |
| IL | CIGNA | 205854306 | 01 |
| IL | MEDICARE GROUP NUMBER | 214530 | 01 |
| IL | TRICARE | 205854306 | 01 |
| IL | HEALTHLINK | 387145 | 01 |
| IL | UNITED HEALTHCARE | 205854306 | 01 |
| IL | GHP | 296498 | 01 |
| IL | BLUE CROSS OF ILLINOIS | 6032205 | 01 |
| IL | AETNA | 5861603 | 01 |
| MO | BLUE CROSS MISSOURI | 115738 | 01 |
| IL | HARMONY | 253075 | 01 |
| IL | RAILROAD MEDICARE | P00399401 | 01 |
| Street Address |
2023 VADALABENE DR STE 200 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346783230 | Jenny M Daniels | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2016-11-23 |
| 1366829608 | Sean M Miller | Physician Assistant | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2015-05-06 |
| 1477957827 | Kristen R Kreher | Nurse Practitioner | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2014-10-14 |
| 1134537632 | Deanna Moorman | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2014-07-28 |
| 1235578410 | Kathryn Lindsay K Cobb | Nurse Practitioner | 2023 Vadalabene Dr, Maryville, IL 62062-5630 | 2013-06-20 |
| 1912293002 | Maryville Imaging, LLC | Clinic/Center | 2023 Vadalabene Dr, Suite 100, Maryville, IL 62062-5630 | 2011-06-27 |
| 1982902342 | Dr. David B. Yablonsky, D.o., P.C. | Family Medicine | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2011-03-09 |
| 1306154984 | Manisha C Shah | Obstetrics & Gynecology | 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062 | 2010-09-17 |
| 1073843967 | Jennifer D Wesselman-williams | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2009-12-28 |
| 1619103819 | Brinley Orthodontics, LLC | Dentist | 2023 Vadalabene Dr, Maryville, IL 62062-5631 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164724878 | Norman Arnold Mckinnon Jr. | Obstetrics & Gynecology | 911 Scarlett Oaks Rd, Maryville, TN 37801-7403 | 2010-12-01 |
| 1831314046 | Progressive Health Care for Women, Ltd | Obstetrics & Gynecology | 6810 S.r. 162, Ste 100, Maryville, IL 62062 | 2007-04-13 |
| 1841209830 | Tracie A Traver | Obstetrics & Gynecology | 250 Cherokee Professional Park, Maryville, TN 37804-5153 | 2006-08-07 |
| 1144491416 | Appalachian Center for Women, PC | Obstetrics & Gynecology | 417 E Lamar Alexander Pkwy, Maryville, TN 37804-5816 | 2008-03-14 |
| 1659423085 | Ursula Louise Thatch | Obstetrics & Gynecology | 6810 State Route 162, Ste 100, Maryville, IL 62062-8501 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
| 1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
| 1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
| 1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
| 1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
| 1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
| 1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
| 1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
| 1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
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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.