MR. JOSEPH DAESCH (NPI# 1407491319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407491319 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH DAESCH |
| Credential | NP |
| Practice Address |
1230 Tanglewood Pkwy Caseyville IL 62232-1101 |
| Practice Telephone | 6183467640 |
| Practice Fax Number | 6183449246 |
| Mailing Telephone | 6183467640 |
| Mailing Fax Number | 6183449246 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209-020464 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1230 TANGLEWOOD PKWY |
| City | CASEYVILLE |
| State | IL |
| Zip Code | 62232-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889331 | Melissa Hill | Pediatrics | 1230 Tanglewood Pkwy, Caseyville, IL 62232-1101 | 2018-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850451 | Allison R Tojo | Counselor | Gateway Foundation, Inc., 600 W. Lincoln Avenue, Caseyville, IL 62232 | 2018-08-13 |
| 1265818025 | Jessica Penny | Developmental Therapist | 435 S 4th St, Caseyville, IL 62232 | 2015-08-04 |
| 1477849909 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 600 W. Lincoln Street, East, Caseyville, IL 62232 | 2011-06-23 |
| 1902909153 | Jean Evelyn Vogel Wagner | Pediatrics | 1230 George E Chance Parkway, Caseyville, IL 62232 | 2006-09-06 |
| 1215922000 | Mark Edward Mcgranahan | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2005-09-16 |
| 1053577387 | A To Z Pediatrics, LLP | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2008-08-06 |
| 1699884825 | Lori Lee Eberhart | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2006-08-30 |
| 1811517360 | Shawna Renae Galonda Herndon | Massage Therapist | 16 E Reynolds St, Caseyville, IL 62232-1014 | 2020-04-24 |
| 1265667224 | Hollywood Heights Fire Department | Emergency Response System Companies | 1214 Hollywood Heights Rd, Caseyville, IL 62232-1128 | 2009-05-20 |
| 1700850526 | Caseyville Nursing and Rehab. Center | Skilled Nursing Facility | 601 W Lincoln Ave, Caseyville, IL 62232-1306 | 2006-02-16 |
| Find all providers in zip 62232 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | CASEYVILLE |
| Zip Code | 62232 |
Please comment or provide details below to improve the information on MR. JOSEPH DAESCH.
| 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.