MR. GEOFRY D. MANZO (NPI# 1427024926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427024926 |
| Entity Type | Individual |
| Full Name | MR. GEOFRY D. MANZO |
| Credential | ATC |
| Practice Address |
301 W Lincoln St Suite 210 Belleville IL 62220-1901 |
| Mailing Address |
3002 Celebration Park Circle Belleville IL 62220 |
| Practice Telephone | 6186415800 |
| Practice Fax Number | 6186415825 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000152721 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
301 W LINCOLN ST SUITE 210 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858589 | Krystal Gilb | Nurse Practitioner | 301 W Lincoln St, Suite 201, Belleville, IL 62220-1901 | 2017-01-23 |
| 1851728216 | Desirae Renee Welby | Nurse Practitioner | 301 W Lincoln St, Ste 101, Belleville, IL 62220-1901 | 2013-10-01 |
| 1942492475 | Charles Smittkamp | Radiology | 301 W Lincoln St, Belleville, IL 62220-1901 | 2007-08-17 |
| 1679789481 | St. Elizabeth's Hospital | Preventive Medicine | 301 W Lincoln St, Suite 100, Belleville, IL 62220-1901 | 2007-05-16 |
| 1760563688 | Prairie Psychiatry, Sc | Psychiatry & Neurology | 301 W Lincoln St, Suite 106, Belleville, IL 62220-1901 | 2006-10-18 |
| 1205917176 | Randy John Jung | Psychiatry & Neurology | 301 W Lincoln St, Suite 106, Belleville, IL 62220-1901 | 2006-10-18 |
| 1194739136 | Paul Martin Biegler | Dentist | 301 W Lincoln St, Suite 54, Belleville, IL 62220-1901 | 2006-07-27 |
| 1033132030 | St. Elizabeth Hospital | Physical Medicine & Rehabilitation | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-07-25 |
| 1962470989 | Elizabeth J Caschetta | Specialist/Technologist | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-03-08 |
| 1700885944 | Dennis J Stanczyk | Urology | 301 W Lincoln St, #57, Belleville, IL 62220-1901 | 2005-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131767 | Ezekiel Joubert Jr. | Specialist/Technologist | 24261 Elwell Rd, Belleville, MI 48111-9412 | 2018-10-25 |
| 1033607403 | Lindsey Caroline Woller | Specialist/Technologist | 7161 Frenchtown Rd, Belleville, WI 53508-9530 | 2018-05-01 |
| 1649710419 | Frank M. Aiello | Specialist/Technologist | 68 Emmet St, Belleville, NJ 07109-2315 | 2017-02-27 |
| 1124487137 | Dani Collins | Specialist/Technologist | 212 S Virginia Ave, Belleville, IL 62220-3883 | 2016-02-18 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1275915712 | Jason Patrick Williams | Specialist/Technologist | 11225 Morton Taylor Rd, Belleville, MI 48111-1330 | 2015-06-21 |
| 1619367505 | Aaron Kremmel | Specialist/Technologist | 105 Whiteside Dr, Belleville, IL 62221-2558 | 2015-01-29 |
| 1316233224 | Rodney Dean Ford Jr. | Specialist/Technologist | 4550 Memorial Dr. Office Center One Ste G100, Belleville, IL 62226-5372 | 2011-06-20 |
| 1528376191 | Marissa Radice | Specialist/Technologist | 17 Pleasant Ave, Belleville, NJ 07109-1329 | 2010-09-16 |
| 1083758528 | Cynthia Jo Bowers | Specialist/Technologist | 6452 Denton Rd, Belleville, MI 48111-1015 | 2007-02-17 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.