DR. REBECCA ANNE SIERRA (NPI# 1417186420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417186420 |
Entity Type | Individual |
Full Name | DR. REBECCA ANNE SIERRA |
Credential | M.D. |
Practice Address |
435 Maxine Dr Suites 3 and 4 Morton IL 61550-2498 |
Mailing Address |
1301 W Jefferson St Apt 4c Morton IL 61550-1370 |
Practice Telephone | 3092632424 |
Practice Fax Number | 3092842255 |
Mailing Telephone | 8153514547 |
Enumeration Date | 2009-07-11 |
Last Update Date | 2012-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 125.056141 | IL | Allopathic & Osteopathic Physicians |
Street Address |
435 MAXINE DR SUITES 3 AND 4 |
City | MORTON |
State | IL |
Zip Code | 61550-2498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821000217 | Deborah L Collins | Physician Assistant | 435 Maxine Dr, Morton, IL 61550-2498 | 2006-08-13 |
1710346309 | Darlene G Esken | Nurse Practitioner | 435 Maxine Dr, Morton, IL 61550-2498 | 2016-02-11 |
1346616372 | Jamie L Muller | Nurse Practitioner | 435 Maxine Dr, Morton, IL 61550-2498 | 2015-08-13 |
1124349089 | Molly Lundy | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2010-06-15 |
1447589650 | Tiffani L Williams | Physician Assistant | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-12-17 |
1629200753 | Catherine Beratio | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-08-24 |
1043445869 | Christopher Reavis Johnson | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-05-22 |
1447424791 | Jessica A. Tonozzi-kinzinger | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2008-04-17 |
1336347830 | Osf Saint Francis, Inc | Durable Medical Equipment & Medical Supplies | 435 Maxine Dr, Morton, IL 61550-2498 | 2007-07-05 |
1831301282 | David T. Cross | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2007-05-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
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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 |
---|---|---|---|---|
1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
1013423045 | Kelley Barber | Pediatrics | 3016 Highway 80, Morton, MS 39117-9393 | 2017-12-28 |
1124349089 | Molly Lundy | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2010-06-15 |
1831301282 | David T. Cross | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2007-05-05 |
1346322310 | Matthew Knight | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2006-10-19 |
1457433492 | Donald Baker | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2006-10-19 |
1538241591 | Shad Beaty | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2006-10-19 |
1487736450 | Ronald Luce | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2006-10-19 |
1720188204 | Elizabeth Kramer | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
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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.