MR. JOEY ALAN WEGMANN (NPI# 1376656827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376656827 |
| Entity Type | Individual |
| Full Name | MR. JOEY ALAN WEGMANN |
| Credential | PA-C |
| Practice Address |
302 Broadway St Mount Vernon IL 62864-5116 |
| Mailing Address |
1700 N. Henderson Osf Galesburg Clinic Prompt Care Galesburg IL 61401 |
| Practice Telephone | 6182424750 |
| Practice Fax Number | 6182427674 |
| Mailing Telephone | 3093431000 |
| Mailing Fax Number | 3093435207 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085000851 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 719926 | 01 |
| IL | 085000851 | 05 |
| Street Address |
302 BROADWAY ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679539019 | John Gordon Rowe | Orthopaedic Surgery | 302 Broadway St, Mount Vernon, IL 62864 | 2006-04-25 |
| 1508338872 | Megan Sarah Chillson | Occupational Therapist | 302 Broadway St, Mount Vernon, IL 62864 | 2018-12-26 |
| 1386890234 | Juan Alfredo Carrillo | Orthopaedic Surgery | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2008-08-12 |
| 1538272190 | Alan L Froehling | Orthopaedic Surgery | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2006-08-17 |
| 1114030640 | Neuromuscular Orthopaedic Institute Ltd | Orthopaedic Surgery | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2006-08-17 |
| 1770538225 | Lyle D Pahnke Jr. | Family Medicine | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2006-05-23 |
| 1316990138 | Sarah Elizabeth Nelson | Occupational Therapist | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694936 | Kristen Erin Roberts | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2019-02-06 |
| 1033688981 | Ashton Taylor De Cardenas | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273 | 2018-11-21 |
| 1114419280 | Janelle A Shah | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274 | 2018-06-04 |
| 1700326824 | Shannan Theresa O'brien | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2017-03-08 |
| 1083991202 | Peter John Frey | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2011-11-16 |
| 1225107089 | Samuel L Collins | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-11-07 |
| 1588757306 | Kristina L. Mullen | Physician Assistant | 2320 Freeway Drive, Mount Vernon, WA 98273 | 2006-10-02 |
| 1598707218 | Carlos Aguero | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2006-06-11 |
| 1558325167 | Erin Doherty Van Allen | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.