DR. GHULAM A MERCHANT (NPI# 1366410292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366410292 |
| Entity Type | Individual |
| Full Name | DR. GHULAM A MERCHANT |
| Credential | MD |
| Practice Address |
1045 Martin Luther King Dr Centralia IL 62801-3001 |
| Practice Telephone | 6185323110 |
| Practice Fax Number | 6185327226 |
| Mailing Telephone | 6185323110 |
| Mailing Fax Number | 6185327226 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1045 MARTIN LUTHER KING DR |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265495824 | Ambulatory Surgery Center of Centralia, LLC | Clinic/Center | 1045 Martin Luther King Dr, Centralia, IL 62801-3001 | 2006-04-06 |
| 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 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477097871 | St. Mary's Hospital, Centralia, Illinois | Anesthesiology | 400 N Pleasant Ave, Centralia, IL 62801-3056 | 2016-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | Anesthesiology | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 |
| 1215552880 | Babu Prasad, Md | Anesthesiology | 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 | 2020-06-10 |
| 1093330516 | Modern Pain Consultants | Anesthesiology | 1802 N Division St Ste 605, Morris, IL 60450-3133 | 2020-06-10 |
| 1255956777 | Modern Pain Consultants | Anesthesiology | 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 | 2020-06-10 |
| 1144844036 | Interventional Pain Medicine of Chicago Sc | Anesthesiology | 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 | 2020-06-05 |
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1538719778 | Cpc Surgical Suite LLC | Anesthesiology | 555 W Court St Ste 100, Kankakee, IL 60901-3673 | 2019-09-19 |
| 1659854008 | Rich Noren LLC | Anesthesiology | 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 | 2018-09-12 |
| 1003336470 | Vertex Anesthesia LLC | Anesthesiology | 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 | 2017-06-26 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
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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.