MRS. MELISSA B SCHOPIN (NPI# 1417963190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417963190 |
Entity Type | Individual |
Full Name | MRS. MELISSA B SCHOPIN |
Other Name | MS. MELISSA W BLOCH |
Credential | PA-C |
Practice Address |
2850 W 95th St Evergreen Park IL 60805-2735 |
Practice Telephone | 7084222242 |
Mailing Telephone | 7084222242 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2010-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
85-002040 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MEDICARE | P00372192 | 01 |
Street Address |
2850 W 95TH ST |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805-2735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598760480 | Michael R Fiorucci | Surgery | 2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2735 | 2005-06-16 |
1295197697 | Shina Keaonis Gordon | Nurse Practitioner | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2016-03-24 |
1659757888 | Yvonne Oldaker | Advanced Practice Midwife | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2015-08-11 |
1386037984 | Leslie Kelly | Nurse Practitioner | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2015-03-06 |
1558754291 | Gina Marie Chigaros | Counselor | 2850 W 95th St, Mary Potter Pavilion Suite 403, Evergreen Park, IL 60805-2735 | 2015-03-05 |
1629487806 | Deon Shere Cooper | Registered Nurse | 2850 W 95th St, Suite 301, Evergreen Park, IL 60805-2735 | 2014-08-12 |
1750621884 | Cynthia M Hayes | Clinical Nurse Specialist | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2013-02-27 |
1336488212 | The Cardiology Group | Clinical Nurse Specialist | 2850 W 95th St, Suite 305, Evergreen Park, IL 60805-2735 | 2013-02-12 |
1255608808 | Kunhunn Vellody Md | Clinic/Center | 2850 W 95th St, Suite 201, Evergreen Park, IL 60805-2735 | 2011-11-28 |
1457649121 | Ryan Kukor | Internal Medicine | 2850 W 95th St, Suite 102, Evergreen Park, IL 60805-2735 | 2011-07-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
Find all providers in zip 60805 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417071713 | Mary Lou O'keefe | Physician Assistant | 2850 W 95th St Ste 102, Evergreen Park, IL 60805-2703 | 2007-03-19 |
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 | EVERGREEN PARK |
Zip Code | 60805 |
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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.