MEMORIAL PHYSICIAN SERVICES (NPI# 1477614105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477614105 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIAN SERVICES |
| Practice Address |
515 N College St Lincoln IL 62656-1401 |
| Mailing Address |
Po Box 3428 Springfield IL 62708-3428 |
| Practice Telephone | 2177329681 |
| Practice Fax Number | 2177356527 |
| Mailing Telephone | 8005775368 |
| Mailing Fax Number | 2177572021 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | EDGAR J CURTIS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2177883340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316470651 | Memorial Physician Services | Internal Medicine | 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 | 2017-04-04 |
| 1275065906 | Memorial Physician Services | Internal Medicine | 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 | 2017-03-31 |
| 1063961936 | Memorial Physician Services | General Acute Care Hospital | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2016-10-03 |
| 1205180056 | Memorial Physician Services | Clinic/Center | 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650-1136 | 2012-11-01 |
| 1174877930 | Memorial Physician Services | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2012-11-01 |
| 1104179415 | Memorial Physician Services | Clinic/Center | 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 | 2012-10-24 |
| 1558614867 | Memorial Physician Services | Clinic/Center | 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 | 2012-10-24 |
| 1881947174 | Memorial Physician Services | Clinic/Center | 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 | 2012-10-24 |
| 1790038099 | Memorial Physician Services | Clinic/Center | 1 Centre Dr, Petersburg, IL 62675-9467 | 2012-10-24 |
| 1568715126 | Memorial Physician Services | Clinic/Center | 515 N College St, Lincoln, IL 62656-1401 | 2012-10-19 |
| Street Address |
515 N COLLEGE ST |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641033 | Richard Ethan Bivin | Family Medicine | 515 N College St, Lincoln, IL 62656-1401 | 2005-07-07 |
| 1770121980 | Linda M Fields | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2019-12-18 |
| 1265097737 | Jamie L Steward | Social Worker | 515 N College St, Lincoln, IL 62656-1401 | 2019-05-09 |
| 1346752557 | Jennifer K Fogle | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2017-10-27 |
| 1538683032 | Samantha M Olmstead | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2017-07-27 |
| 1780045229 | Randi Hope | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2016-03-11 |
| 1093189615 | Lindsay Otero | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2015-11-19 |
| 1184000697 | Lyndsey Thorne | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2015-08-06 |
| 1770974800 | Nicole Thomas | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2015-02-11 |
| 1184052201 | Olivia Valdez | Counselor | 515 N College St, Lincoln, IL 62656-1401 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1689209769 | Lincoln Joint & Wellness Care LLC | Clinic/Center | 4500 S 70th St Ste 117, Lincoln, NE 68516-4283 | 2020-03-09 |
| 1639427560 | Bprc LLC | Clinic/Center | 1610 S 70th St, Suite 102, Lincoln, NE 68506-1565 | 2012-08-27 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1730647611 | Complete Family Treatment Services | Clinic/Center | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2019-03-09 |
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| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
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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.