JOHN A. HUCKER (NPI# 1477558922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477558922 |
| Entity Type | Individual |
| Full Name | JOHN A. HUCKER |
| Credential | M.D. |
| Practice Address |
340 W Lincoln St Ste 560 Belleville IL 62220-1900 |
| Practice Telephone | 6183557745 |
| Practice Fax Number | 6183557759 |
| Mailing Telephone | 6183557745 |
| Mailing Fax Number | 6183557759 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 100358 | MO | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 36084580 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360845803 | 05 |
| Street Address |
340 W LINCOLN ST STE 560 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609313758 | Marianne Guthrie | Nurse Practitioner | 340 W Lincoln St, 200, Belleville, IL 62220-1900 | 2017-01-27 |
| 1841683133 | Kathryn Liermann | Physician Assistant | 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | 2015-03-10 |
| 1447686886 | Amelia Gerke | Physician Assistant | 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | 2013-09-17 |
| 1811286305 | Sherry Tindall | Nurse Practitioner | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 | 2011-04-05 |
| 1427204965 | Elizabeth Renaker-jansen | Plastic Surgery | 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 | 2008-08-15 |
| 1528214624 | Vidya Shankaran | Plastic Surgery | 340 W Lincoln St, Ste 500, Belleville, IL 62220-1900 | 2008-08-08 |
| 1811188949 | Kristina Naseer | Anesthesiology | 340 W Lincoln St, Suite 200, Belleville, IL 62220-1900 | 2007-08-05 |
| 1154538064 | Desiree Y Miller | Physician Assistant | 340 W Lincoln St, Suite#300, Belleville, IL 62220-1900 | 2007-05-17 |
| 1700962271 | Lincoln Surgical Group | Surgery | 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 | 2006-10-27 |
| 1487755518 | Girish R Mood | Internal Medicine | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 | 2006-09-25 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144663568 | Katy Elizabeth Gray | Obstetrics & Gynecology | 4600 Memorial Dr Ste 240, Belleville, IL 62226-5363 | 2013-04-16 |
| 1083942635 | Mohamed A Esiely | Obstetrics & Gynecology | 82 Van Houten Pl, Belleville, NJ 07109-2543 | 2009-11-19 |
| 1912045287 | Women's Care Nj Pa | Obstetrics & Gynecology | 36 Newark Ave Ste 128, Belleville, NJ 07109-4120 | 2007-02-01 |
| 1023186079 | Women's Healthcare Specialists, P.C. | Obstetrics & Gynecology | 4600 Memorial Dr Ste 400, Medical Office Center Two, Belleville, IL 62226-5366 | 2006-11-30 |
| 1174625313 | Michael E Herrmann Md Ltd | Obstetrics & Gynecology | Suite 966, 2900 Frank Scott Pkwy W, Belleville, IL 62223-5000 | 2006-09-01 |
| 1184644981 | Midwest Medical Healthcare, Ltd. | Obstetrics & Gynecology | 340 W Lincoln St Ste 560, Belleville, IL 62220-1900 | 2006-07-21 |
| 1467410373 | Gerard T Cicalese Md Pa | Obstetrics & Gynecology | 330 Washington Ave, Belleville, NJ 07109 | 2006-05-02 |
| 1326452582 | James Hobby | Obstetrics & Gynecology | 7210 W Main St, Belleville, IL 62223 | 2014-06-16 |
| 1104118249 | Kallie L Harrison | Obstetrics & Gynecology | 4600 Memorial Dr Ste 400, Belleville, IL 62226-5366 | 2011-05-09 |
| 1710279856 | Sara J Lebovitz | Obstetrics & Gynecology | 4600 Memorial Dr, Suite 400, Belleville, IL 62226-5368 | 2011-05-09 |
| 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.