AYCA RAIF (NPI# 1376516658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376516658 |
| Entity Type | Individual |
| Full Name | AYCA RAIF |
| Credential | MD |
| Practice Address |
320 N Madison Pittsfield IL 62363 |
| Mailing Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 2172859601 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036092544 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036092544 | 05 |
| Street Address |
320 N MADISON |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331229 | Ronald L Johnson | Family Medicine | 320 N Madison, Pittsfield, IL 62363 | 2005-07-29 |
| 1013980200 | Amelia L. Dean | Family Medicine | 320 N Madison, Pittsfield, IL 62363 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1235178229 | John C Dallenbach | Pediatrics | 426 East St, Pittsfield, MA 01201-5308 | 2006-06-05 |
| 1801874755 | Michael Anthony Fabrizio Jr. | Pediatrics | 387 Columbus Avenue Ext, Pittsfield, MA 01201-4909 | 2006-01-01 |
| 1093798415 | Berkshire Pediatric Associates PC | Pediatrics | 777 North St Ste 305, Berkshire Pediatric Associates PC, Pittsfield, MA 01201-4172 | 2005-11-21 |
| 1629060298 | Vicki E Smith | Pediatrics | 374 South St, Pittsfield, MA 01201-6804 | 2005-08-18 |
| 1871018093 | Jill Leigh Jolin | Pediatrics | 426 East St, Pittsfield, MA 01201-5308 | 2017-08-09 |
| 1831610229 | Keturah Baker | Pediatrics | 777 North St Ste 305, Pittsfield, MA 01201-4172 | 2017-07-06 |
| 1942720214 | Community Health Programs, Inc | Pediatrics | 777 North Street, Pittsfield, MA 01201 | 2017-06-27 |
| 1215324116 | Sandeep Kumar | Pediatrics | 777 North Street, Suite 305, Pittsfield, MA 01201 | 2015-04-20 |
| 1215227723 | Eimear M O'loughlin | Pediatrics | 777 North Street, Pittsfield, MA 01201 | 2011-04-18 |
| 1801099023 | Vicki Smith Md PC | Pediatrics | 374 South St, Pittsfield, MA 01201-6804 | 2007-06-06 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
Please comment or provide details below to improve the information on AYCA RAIF.
| 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.