MR. VATHIAR A TAZUDEEN (NPI# 1366451163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366451163 |
| Entity Type | Individual |
| Full Name | MR. VATHIAR A TAZUDEEN |
| Credential | M.D. |
| Practice Address |
701 W Fairchild St Danville IL 61832-3745 |
| Practice Telephone | 2174318400 |
| Practice Fax Number | 2174310387 |
| Mailing Telephone | 2174318400 |
| Mailing Fax Number | 2174310387 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036061107 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036061107 | 05 |
| Street Address |
701 W FAIRCHILD ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275940959 | Danville Neurology, LLC | Psychiatry & Neurology | 701 W Fairchild St, Lower Level, Danville, IL 61832-3745 | 2014-07-15 |
| 1174896443 | Muhammad Mushtaq Md PC | Internal Medicine | 701 W Fairchild St, Suite B, Danville, IL 61832-3745 | 2012-02-17 |
| 1194990853 | Neurology Clinic of Danville, LLC | Specialist | 701 W Fairchild St, Danville, IL 61832-3745 | 2008-04-24 |
| 1104008606 | Wahid Tazudeen | Psychiatry & Neurology | 701 W Fairchild St, Danville, IL 61832-3745 | 2007-11-27 |
| 1871774687 | Miguel Rubio Ochoa | Surgery | 701 W Fairchild St, Suite A, Danville, IL 61832-3745 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881940427 | Marilyn S. Kwolek Md, PC | Specialist | 917 San Ramon Valley Blvd Ste 199, Danville, CA 94526-4032 | 2012-08-01 |
| 1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
| 1083906929 | Paul Hylton | Specialist | 135 Clarendon Cir, Danville, VA 24541-2625 | 2011-05-11 |
| 1255647392 | Robert G Wells | Specialist | 1953 Rancho Verde Cir E, Danville, CA 94526-6219 | 2010-08-26 |
| 1205014099 | Cathy S Hammond | Specialist | 10372 Martinsville Hwy, Suite 3, Danville, VA 24541-6889 | 2008-02-05 |
| 1619175445 | Diva S Seddick | Specialist | 3641 Country Club Ter, Danville, CA 94506-6064 | 2007-07-03 |
| 1982811311 | Patricia G. Bruce | Specialist | 1105 Elm St, Danville, KY 40422-1015 | 2007-05-16 |
| 1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
| 1073648580 | Women's Health Care Center, Inc. | Specialist | 513 Piney Forest Rd, Lower Level, Danville, VA 24540-3353 | 2007-02-23 |
| 1669522512 | John P White | Specialist | 324 Live Oak Dr, Danville, CA 94506-2145 | 2007-01-11 |
| Find all providers in DANVILLE | ||||
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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.