MR. AMNUAY SETHAKORN (NPI# 1386727642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386727642 |
| Entity Type | Individual |
| Full Name | MR. AMNUAY SETHAKORN |
| Credential | MD |
| Practice Address |
4 Doctors Park Gibson City IL 60936 |
| Mailing Address |
Po Box 527 4 Doctors Park Gibson City IL 60936 |
| Practice Telephone | 2177848919 |
| Mailing Telephone | 2177848919 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4 DOCTORS PARK |
| City | GIBSON CITY |
| State | IL |
| Zip Code | 60936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568538 | Skylee Terese Crawford | Social Worker | 4 Doctors Park, Gibson City, IL 60936-2000 | 2018-08-21 |
| 1962996397 | Abby M Johnson | Social Worker | 4 Doctors Park, Gibson City, IL 60936-2000 | 2018-06-19 |
| 1548776636 | Vicki Lynn Angstmann | Counselor | 4 Doctors Park, Gibson City, IL 60936-2000 | 2017-12-27 |
| 1790220309 | Katie S Cafarelli | Social Worker | 4 Doctors Park, Gibson City, IL 60936-2000 | 2017-01-05 |
| 1003361700 | Emily Wenger | Counselor | 4 Doctors Park, Gibson City, IL 60936-2000 | 2016-08-23 |
| 1114371150 | Brenda Sommer | Counselor | 4 Doctors Park, Gibson City, IL 60936-2000 | 2016-04-15 |
| 1427414085 | Ingrid I Wheeler | Social Worker | 4 Doctors Park, Gibson City, IL 60936-2000 | 2016-01-12 |
| 1366883431 | Gibson Community Hospital Association | Psychiatry & Neurology | 4 Doctors Park, Gibson City, IL 60936-2000 | 2013-07-17 |
| 1942576566 | Emily A Sauder | Social Worker | 4 Doctors Park, Gibson City, IL 60936-2000 | 2012-03-28 |
| 1205068053 | Ajay Jeetwani | Psychiatry & Neurology | 4 Doctors Park, Gibson City, IL 60936-2000 | 2009-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738738 | Carrie Ann Lithgow | Physical Therapist | 109 N. Sangamon Ave, Gibson City, IL 60936 | 2007-04-16 |
| 1144359001 | Kerrie Ann Patrick | Registered Nurse | 222 N Sangamon, Gibson City, IL 60936 | 2007-03-05 |
| 1578612800 | Donna J Boundy | Dentist | 627 E 8th St, Gibson City, IL 60936 | 2007-01-09 |
| 1093878241 | Drew Curtis Duquette | Chiropractor | 523 and One Half South Sangamon Ave, Gibson City, IL 60936 | 2006-12-19 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1811125784 | Gibson Community Hospital Association | Surgery | 1 Doctors Park, Gibson City, IL 60936 | 2009-06-30 |
| 1013050046 | Rebecca Anne Wildermuth | Specialist/Technologist | 10 Doctors Park, Gibson City, IL 60936 | 2007-02-15 |
| 1245312602 | Ginny E Pulley | Licensed Practical Nurse | 222 N Sangamon Ave, Gibson City, IL 60936 | 2006-10-19 |
| 1518065358 | Karen Marie Leenerman | Registered Nurse | 222 N Sangamon Ave, Gibson City Clinic Sc, Gibson City, IL 60936 | 2006-09-20 |
| 1528166378 | Melissa Kay Parks | Registered Nurse | 222 N Sangamon Ave, Gibson City, IL 60936 | 2006-09-20 |
| Find all providers in zip 60936 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467433557 | David John Hagan | Family Medicine | 222 N Sangamon Ave, Gibson City, IL 60936-1345 | 2005-11-07 |
| 1578086500 | Gibson Community Hospital Association | Family Medicine | 3 Doctors Park Ste A, Gibson City, IL 60936-2000 | 2017-07-21 |
| 1235667593 | Gibson Community Hospital Association | Family Medicine | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2017-05-31 |
| 1114304045 | Gibson Community Hospital Association | Family Medicine | 201 E 8th St, Gibson City, IL 60936-1422 | 2015-04-29 |
| 1689908220 | Wamaitha Sullivan | Family Medicine | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2009-09-30 |
| 1699922138 | Gibson Community Hospital Association | Family Medicine | 7 Doctors Park, Gibson City, IL 60936-2000 | 2008-08-27 |
| 1992864672 | Gregory J Delost | Family Medicine | 3 Doctors Park, Gibson City, IL 60936-2000 | 2006-12-08 |
| 1336208347 | Mark M Spangler | Family Medicine | 3 Doctors Park, Gibson City, IL 60936-2000 | 2006-12-06 |
| 1114931623 | Mary Ellen Allen | Family Medicine | 222 N Sangamon Ave, Gibson City, IL 60936 | 2006-07-28 |
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|---|---|---|---|---|
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| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | GIBSON CITY |
| Zip Code | 60936 |
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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.