CARLE CLINIC ASSOCIATION, PC (NPI# 1306977863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306977863 |
| Entity Type | Organization |
| Organization Name | CARLE CLINIC ASSOCIATION, PC |
| Practice Address |
503 N Maple St Effingham IL 62401-2006 |
| Practice Telephone | 2173471314 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIRK MOBERG (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2173833311 |
| Authorized Official Credential | M.D., PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992957633 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1701 E Curtis Rd, Champaign, IL 61822-9678 | 2008-10-14 |
| 1700917309 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 2003 Philo Rd, Urbana, IL 61802-8007 | 2007-03-08 |
| 1548391014 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-08 |
| 1730219627 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 4000 Green Apple Lane, Monticello, IL 61856-1175 | 2007-03-07 |
| 1801048541 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-10-14 |
| 1942489141 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 311 W Fairchild St, Danville, IL 61832-3876 | 2007-10-24 |
| 1649466186 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 610 N Lincoln Ave, Urbana, IL 61801-2432 | 2007-09-19 |
| 1295855088 | Carle Clinic Association, PC | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-29 |
| 1093835886 | Carle Clinic Association, PC | Family Medicine | 2300 N Vermilion St, Danville, IL 61832-1735 | 2007-03-29 |
| 1003947557 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2007-03-08 |
| Street Address |
503 N MAPLE ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578525366 | Ashokkumar Vinaychandra Shah | Anesthesiology | 503 N Maple St, Effingham, IL 62401-2006 | 2006-04-05 |
| 1881214104 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | General Acute Care Hospital | 503 N Maple St, Effingham, IL 62401-2006 | 2020-04-17 |
| 1205487790 | Amanda Baker | Physical Therapist | 503 N Maple St, Effingham, IL 62401-2006 | 2019-09-25 |
| 1013564962 | Jodi Lynn Isley | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401-2099 | 2019-08-23 |
| 1699320234 | Kathryn Michelle Rincker | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401 | 2019-08-08 |
| 1093280901 | Bethany Renee Stone | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401-2006 | 2018-10-06 |
| 1265929160 | Bridget Katherine Estes | Nurse Anesthetist, Certified Registered | 503 N Maple St, Effingham, IL 62401-2099 | 2018-04-16 |
| 1538661475 | Cep America Illinois Intensivists | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-03-07 |
| 1710489349 | Adrienne Beth Kinney | Family Medicine | 503 N Maple St, Effingham, IL 62401 | 2018-02-28 |
| 1629577812 | Cepamerica Illinois LLP | Emergency Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578915120 | Aaa Mobility Specialists of Illinois, Inc | Durable Medical Equipment & Medical Supplies | 711 W Jefferson Ave, Effingham, IL 62401-2030 | 2016-07-07 |
| 1346578390 | Bonnie Faye Brown | Durable Medical Equipment & Medical Supplies | 7269 Law Road, Effingham, SC 29541 | 2009-12-03 |
| 1235372475 | Mommy & Me Boutique, Inc. | Durable Medical Equipment & Medical Supplies | 314 W Jefferson Ave, Effingham, IL 62401-2352 | 2009-04-17 |
| 1316109721 | Bandys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 410 N Maple St, Effingham, IL 62401-2004 | 2008-06-26 |
| 1538367461 | Mt Vernon Community Pharmacy | Durable Medical Equipment & Medical Supplies | 803 W Fayette Ave Ste B, Effingham, IL 62401-2415 | 2007-07-03 |
| 1578642476 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 700 N Henrietta St, Suite B, Effingham, IL 62401-1720 | 2006-11-03 |
| 1366534448 | Sarah Bush Lincoln Health Management Services | Durable Medical Equipment & Medical Supplies | 903 N Maple, Effingham, IL 62401 | 2006-09-28 |
| 1174620082 | The Thomas Shop | Durable Medical Equipment & Medical Supplies | 200 W Jefferson Ave, Effingham, IL 62401-2346 | 2006-09-20 |
| 1992710180 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1200 W Fayette Ave, Effingham, IL 62401-1913 | 2006-07-29 |
| 1619994977 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1204 Avenue of Mid America, Effingham, IL 62401-4715 | 2006-07-16 |
| Find all providers in EFFINGHAM | ||||
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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.