SARAH BUSH LINCOLN HEALTH CENTER (NPI# 1346368487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346368487 |
| Entity Type | Organization |
| Organization Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Other Organization Name | ROZA IOFFE MD PEDS CHAR |
| Practice Address |
1411 E St Suite 2 Charleston IL 61920-2529 |
| Mailing Address |
1000 Health Center Dr Mattoon IL 61938-9253 |
| Practice Telephone | 2173485200 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | MR. DENNIS PLUARD (CFO) |
| Authorized Official Telephone | 2172582513 |
| Is Organization Subpart | Y |
| Parent Organization Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Roza Ioffe MD Peds Char | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283455 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 1611 Veterans Ave Ste T, Vandalia, IL 62471-3303 | 2020-01-06 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
| 1467570507 | Sarah Bush Lincoln Health Center | Family Medicine | 200 Professional Plz, Mattoon, IL 61938-9280 | 2007-03-27 |
| 1386762425 | Sarah Bush Lincoln Health Center | Family Medicine | 104 Courthouse Square, Toledo, IL 62468 | 2007-03-27 |
| 1588782627 | Sarah Bush Lincoln Health Center | Family Medicine | 1005 Health Center Drive, Suite 103, Prairie Pavilion I, Mattoon, IL 61938-4693 | 2007-03-27 |
| 1083732630 | Sarah Bush Lincoln Health Center | Family Medicine | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2007-03-26 |
| 1922190024 | Sarah Bush Lincoln Health Center | Home Health | 1004 Health Center Dr, Suite 202, Mattoon, IL 61938-9253 | 2006-09-28 |
| 1447791447 | Sarah Bush Lincoln Health Center | Psychiatry & Neurology | 1005 Health Center Dr, Suite 101, Mattoon, IL 61938-4693 | 2017-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SARAH BUSH LINCOLN HEALTH CENTER | 1000 Health Center Dr, Mattoon, IL 61938-9253 |
| Street Address |
1411 E ST SUITE 2 |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1831494376 | Robin Darnell Pllc | Pediatrics | 4502 Maccorkle Ave Se Ste B, Charleston, WV 25304-1835 | 2011-01-13 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1982953873 | Bee Healthy Pediatrics Pllc | Pediatrics | 400 Court St, Suite 300, Charleston, WV 25301-1652 | 2012-09-06 |
| 1104078393 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-21 |
| 1982712931 | Janice D Key | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1124136080 | Patricia Lee Hutchison | Pediatrics | 181 Calhoun St, Charleston, SC 29424-0001 | 2006-08-29 |
| 1912961343 | Joseph Henry Matusic | Pediatrics | 830 Pennsylvania Ave, Suite 200, Charleston, WV 25302-3302 | 2006-04-13 |
| 1104888171 | Afif S Habash | Pediatrics | 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417259979 | Adolescent and Young Adult Place Ltd | Pediatrics | 9 N Cicero Ave, Chicago, IL 60644-3602 | 2010-12-03 |
| 1942520671 | Cherie Priya Dhar | Pediatrics | 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 | 2010-06-04 |
| 1730334764 | Neighborhood Pedicatrics Sc | Pediatrics | 20200 Governors Dr, 101, Olympia Fields, IL 60461-1032 | 2008-11-18 |
| 1790950244 | Kids Place of Willowbrool Sc | Pediatrics | 6727 Kingery Hwy, Willowbrook, IL 60527-5142 | 2008-04-25 |
| 1841475746 | David C. Norman, Md Inc. | Pediatrics | 4600 Memorial Dr Ste G60, Belleville, IL 62226-5366 | 2008-01-09 |
| 1346429859 | Pediatric & Adolescent Center, S.c. | Pediatrics | 125 E Lake Cook Rd Ste 107, Buffalo Grove, IL 60089-4394 | 2007-10-31 |
| 1649475377 | Lisa Kantz Simons | Pediatrics | 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 | 2007-06-21 |
| 1558402958 | Ashok H Bhaskar | Pediatrics | 2250 Weber Rd, Crest Hill, IL 60435-0928 | 2007-02-09 |
| 1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
| 1184793044 | William G. Klipfel | Pediatrics | 20200 Governors Drive, Suite 101, Olympia Fields, IL 60461 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
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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.