SURGICAL ASSOCIATES OF BLOOMINGTON, ILL,LTD (NPI# 1447355383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447355383 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES OF BLOOMINGTON, ILL,LTD |
| Practice Address |
1404 Eastland Drive Suite 104 Bloomington IL 61701 |
| Practice Telephone | 3096634351 |
| Practice Fax Number | 3096638359 |
| Mailing Telephone | 3096634351 |
| Mailing Fax Number | 3096638359 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-02-01 |
| Authorized Official Name | LAWRENCE A. RAINES (PRESIDENT) |
| Authorized Official Telephone | 3096634351 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1404 EASTLAND DRIVE SUITE 104 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609134865 | Eastland Dental Center, Ltd. | Clinic/Center | 1404 Eastland Drive, Ste 101, Bloomington, IL 61701 | 2012-04-25 |
| 1689863904 | Associates In Dermatology Sc | Dermatology | 1404 Eastland Drive, Suite 204, Bloomington, IL 61701-3532 | 2007-10-23 |
| 1598803330 | Thomas Richard Brander | Dermatology | 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 | 2007-02-02 |
| 1619015450 | James Richard Seehafer | Dermatology | 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 | 2007-02-02 |
| 1669510400 | Lucy Nelson Wisdom | Dermatology | 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 | 2007-02-02 |
| 1326136656 | Deborah S Pitcher | Audiologist | 1404 Eastland Drive, Suite 203, Bloomington, IL 61701 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1356687313 | John Warren Frisch | Surgery | 21 Country Club Pl, Bloomington, IL 61701-3486 | 2012-12-19 |
| 1407048036 | Charles R. Mckeen, M.d., PC | Surgery | 413 W 1st St, Bloomington, IN 47403-2403 | 2007-08-17 |
| 1023119740 | Terrence M Greene | Surgery | 419 W 1st St, Bloomington, IN 47403-2403 | 2006-09-26 |
| 1124089313 | Camilo Santiago | Surgery | 421 W 1st St, Bloomington, IN 47403 | 2006-03-29 |
| 1932194511 | Fadi Haddad | Surgery | 822 W 1st St, Suite 8, Bloomington, IN 47403-2384 | 2005-09-20 |
| 1508863945 | James Nicholas Topolgus Jr. | Surgery | 1419 S Sare Rd, Bloomington, IN 47401-4431 | 2005-06-30 |
| 1396188819 | Katherine Elizabeth Smiley | Surgery | 421 W 1st St, Bloomington, IN 47403 | 2013-04-15 |
| 1992004683 | Premier Medical Group, LLC | Surgery | 1505 Eastland Dr, Suite 2300, Bloomington, IL 61701-3534 | 2011-03-21 |
| 1518122050 | Robert Sung | Surgery | 421 W 1st St, Bloomington, IN 47403-2403 | 2008-07-24 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on SURGICAL ASSOCIATES OF BLOOMINGTON, ILL,LTD.
| 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.