DR. JASON B JERABEK (NPI# 1396853008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396853008 |
| Entity Type | Individual |
| Full Name | DR. JASON B JERABEK |
| Credential | DO |
| Practice Address |
506 W Lincoln Ave Suite 200 A Charleston IL 61920-2453 |
| Practice Telephone | 2172810024 |
| Practice Fax Number | 2173457146 |
| Mailing Telephone | 2172810024 |
| Mailing Fax Number | 2173457146 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-099396 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
506 W LINCOLN AVE SUITE 200 A |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981390 | David C. Hunter | Counselor | 506 W Lincoln Ave, Suite 1000, Charleston, IL 61920-2453 | 2005-11-30 |
| 1881055184 | Holly Godden | Counselor | 506 W Lincoln Ave, Suite 500, Charleston, IL 61920-2453 | 2016-03-14 |
| 1770905952 | Charleston Primary Care Inc. | Clinic/Center | 506 W Lincoln Ave, Suite 200, Charleston, IL 61920-2453 | 2014-01-07 |
| 1497942791 | L.e. Mcneill, Md Sc | Family Medicine | 506 W Lincoln Ave, Suites 200a&b, Charleston, IL 61920-2453 | 2007-10-01 |
| 1790976017 | Jane Elizabeth Wilson | Counselor | 506 W Lincoln Ave, Suite 1000, Charleston, IL 61920-2453 | 2007-08-05 |
| 1346456068 | Virginia Alberta Croft | Speech-Language Pathologist | 506 W Lincoln Ave, Charleston, IL 61920-2453 | 2007-05-16 |
| 1659441210 | New Leaf Professional Counseling | Counselor | 506 W Lincoln Ave, Suite 1000, Charleston, IL 61920-2453 | 2006-11-09 |
| 1891897773 | Leland E. Mcneill | Family Medicine | 506 W Lincoln Ave, Suites 200 A and B, Charleston, IL 61920-2453 | 2006-09-02 |
| 1588770424 | Judith Lidy | Nurse Practitioner | 506 W Lincoln Ave, Suite 200 A, Charleston, IL 61920-2453 | 2006-08-22 |
| 1619953189 | Beverly J. Voris | Counselor | 506 W Lincoln Ave, Suite 400, Charleston, IL 61920-2453 | 2005-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| 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 |
|---|---|---|---|---|
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1356954259 | Relymd Medical Group Wv, Pllc | Family Medicine | 1627 Quarrier St, Charleston, WV 25311-2124 | 2020-08-28 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| 1093375222 | Valley Health Systems, Inc. | Family Medicine | 333 Laidley St Fl 6, Charleston, WV 25301-1614 | 2019-06-19 |
| 1427512201 | Catherine Courtney Slemp | Family Medicine | 350 Capitol St Rm 702, Charleston, WV 25301-1757 | 2019-01-25 |
| 1730677709 | Courtney Uhlar | Family Medicine | 169 Ashley Ave # Msc333, Charleston, SC 29425-9125 | 2018-04-25 |
| 1134617335 | Kelsey Rose Wilson | Family Medicine | 169 Ashley Ave. Room 202, Main Hospital Msc 333, Charleston, SC 29425-9125 | 2018-04-24 |
| 1659869816 | Anthony James Baglio | Family Medicine | 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2018-04-24 |
| 1396252219 | Lisa Ann Oshaughnessy Turnure | Family Medicine | 3 Sawgrass Rd Apt I6, Charleston, SC 29412-2579 | 2017-12-30 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
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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.