DR. STEPHEN T ANG


Address: 1054 M L King Dr, Suite 120, Centralia, IL 62801-3000
Phone: 6185321688

DR. STEPHEN T ANG (NPI# 1346251071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346251071
Entity Type Individual
Full Name DR. STEPHEN T ANG
Credential MD
Practice Address 1054 M L King Dr
Suite 120
Centralia
IL 62801-3000
Practice Telephone 6185321688
Practice Fax Number 6185321689
Mailing Telephone 6185321688
Mailing Fax Number 6185321689
Enumeration Date 2006-08-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 06107347 01

Office Location

Street Address 1054 M L KING DR
SUITE 120
City CENTRALIA
State IL
Zip Code 62801-3000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760440580 Suresh Krishnamoorthy Internal Medicine 1054 M L King Dr, Suite 126, Centralia, IL 62801-3000 2006-05-02
1912101163 Suresh Krishnamoorthy Md Sc Internal Medicine 1054 M L King Dr, Suite 126, Centralia, IL 62801-3000 2007-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996151 Matthew Crawford Counselor 904 E Martin Luther King Dr, Centralia, IL 62801 2019-08-08
1588130314 Kennah White Counselor 904 E. Mlk Drive, Centralia, IL 62801 2018-10-19
1245721588 Lindsey Nicole Fogliasso Counselor 904 East Mlk Dr., Centralia, IL 62801 2018-05-22
1629573365 Prabhat Shrestha Student in an Organized Health Care Education/Training Program 605 Sable Drive, Centralia, IL 62801 2018-03-26
1619496098 Whitney Rathmann Speech-Language Pathologist 224 South Locust, Centralia, IL 62801 2017-09-17
1376082685 Athena A Smith Counselor 904 E. Martin Luther King Dr, Centralia, IL 62801 2017-02-20
1447704069 Meghan Branch Counselor 904 Martin Luther King Dr, Centralia, IL 62801 2016-08-11
1568820637 Midland Area Agency On Aging Case Management 434 S Poplar Street, Centralia, IL 62801 2016-02-04
1104201714 Keri Douglas Nurse Practitioner 1054 M. L. King Drive #125, Centrailia, IL 62801 2015-07-24
1215331509 Melissa Dane Counselor 904 E Martin Luther King Dr., Centralia, IL 62801 2014-10-15
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003841958 Richard Scott Elloway Internal Medicine 1010 S. Scheuber Road, Suite G, Centralia, WA 98531-8877 2006-07-11
1427331891 Stephen T Ang Md Sc Internal Medicine 1054 Martin Luther King Dr, Ste 120, Centralia, IL 62801-3000 2011-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013487388 Endoscopy Center of The North Shore, LLC Internal Medicine 1100 Central Ave Ste H, Wilmette, IL 60091-2666 2018-11-29
1104303296 Amanda Israel Internal Medicine 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 2018-07-23
1861999559 Kiba, Inc. Internal Medicine 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 2018-04-09
1447765888 David Henoch Barch Internal Medicine 3431 N Leavitt St, Chicago, IL 60618-6013 2017-12-07
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1205218658 Ye Eun Kwak Internal Medicine 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 2015-06-22
1699186890 Laura Hamad Internal Medicine 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 2014-05-11
1154749042 Joshua Michael Steinberg Internal Medicine 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 2014-03-28
1841533254 Danish Shahab Internal Medicine 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 2013-04-03
1447599311 Seymour Marshall Sabesin Internal Medicine 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 2013-02-12
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Competitor

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City CENTRALIA
Zip Code 62801

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Dataset Information

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.

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