DR. YOHANNES GHIDEY (NPI# 1306851084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306851084 |
| Entity Type | Individual |
| Full Name | DR. YOHANNES GHIDEY |
| Credential | MD |
| Practice Address |
6000 Bond Ave East Saint Louis IL 62207-2328 |
| Practice Telephone | 6183322740 |
| Practice Fax Number | 6183328755 |
| Mailing Telephone | 6183322740 |
| Mailing Fax Number | 6183328755 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036081694 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 296885682 | 05 |
| Street Address |
6000 BOND AVE |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62207-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033275631 | Carolyn M. Booth | Physician Assistant | 6000 Bond Ave, East Saint Louis, IL 62207-2328 | 2006-12-28 |
| 1184780793 | Sylvia A. Florian | Registered Nurse | 6000 Bond Ave, East Saint Louis, IL 62207-2328 | 2006-12-28 |
| 1700972833 | Darrell M. Ballinger | Obstetrics & Gynecology | 6000 Bond Ave, East Saint Louis, IL 62207-2328 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
| 1063708345 | Porshia Lenee' Egerson | Student in an Organized Health Care Education/Training Program | 6032 Clarita Ave, Centreville, IL 62207-1019 | 2011-06-24 |
| 1679742506 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1501 S G St, East Saint Louis, IL 62207-2057 | 2008-02-25 |
| 1780853614 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 1500 Wilford Ave, East Saint Louis, IL 62207-2066 | 2008-02-25 |
| 1891395893 | Cheryl Lynn Eubanks | Technician | 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 | 2020-10-28 |
| 1871086082 | Medicate Pharmacy Inc | Pharmacy | 5869 Bond Ave, Centreville, IL 62207-2300 | 2018-06-12 |
| 1255357224 | Mohammad Hashemi | Radiology | 5900 Bond Ave, East Saint Louis, IL 62207-2326 | 2006-07-14 |
| 1952900763 | Danielle Victoria Williams | Dietitian, Registered | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-10-22 |
| 1750992459 | Touchette Regional Hospital Inc | Psychiatric Unit | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-08-14 |
| 1932722295 | Alecia E Marks | Social Worker | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-05-21 |
| Find all providers in zip 62207 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487612370 | Justin Ogbevoen | Pediatrics | 8710 State St, East Saint Louis, IL 62203 | 2006-05-02 |
| 1689825838 | Edgemont Pediatrics, P.c | Pediatrics | 8710 State St, East Saint Louis, IL 62203-2048 | 2008-10-07 |
| 1972703056 | Akemie Edna Williams Gray | Pediatrics | 100 N 8th St Ste 232, East Saint Louis, IL 62201-2989 | 2007-07-18 |
| 1184845257 | Rina S. Patney | Pediatrics | 2001 State St, East Saint Louis, IL 62205-1803 | 2007-05-02 |
| 1053420422 | Deepa Arun | Pediatrics | 100 N 8th St, Suite 238, East Saint Louis, IL 62201-2989 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST SAINT LOUIS |
| Zip Code | 62207 |
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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.