MRS. MELODY ANN BAUMAN


Address: 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701
Phone: 3096612368

MRS. MELODY ANN BAUMAN (NPI# 1487172409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487172409
Entity Type Individual
Full Name MRS. MELODY ANN BAUMAN
Other Name MRS. MELODY ANN FITZGERALD
Credential PA-C
Practice Address 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M
Bloomington
IL 61701
Practice Telephone 3096612368
Practice Fax Number 3096629709
Mailing Telephone 3096612368
Mailing Fax Number 3096629709
Enumeration Date 2017-08-30
Last Update Date 2020-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085006316 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1505 EASTLAND DR, OSF CRITICAL CANE, PULMONARY, SLEEP M
City BLOOMINGTON
State IL
Zip Code 61701

Providers in the same zip code

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
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
1114276177 Cynthia Johnson Occupational Therapist 2200 East Washington St, Bloomington, IL 61701 2012-09-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1386292886 Quinn Harmon Physician Assistant 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403-2001 2019-08-28
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1730619487 Elise Nicole Lill Physician Assistant 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 2017-06-15
1528417557 Kathryn Shalbrack Physician Assistant 4300 Marketpointe Dr, Bloomington, MN 55435-5423 2016-06-09
1740634203 Alfonso Luna IIi Physician Assistant 657 S Lancewood Ave, Bloomington, CA 92316-1336 2016-04-20
1215308671 Sara Ann Houk Physician Assistant 2200 E. Washington St, Bloomington, IL 61701-4323 2015-10-12
1760865133 Patrick D Machacek Physician Assistant 10633 Vincent Ave S, Bloomington, MN 55431-3733 2015-07-03
1558740803 Samuel Johnson Physician Assistant 2901 Metro Drive, Suite 527, Bloomington, MN 55122 2015-05-20
1881085389 Jennifer Ann Sutherland Physician Assistant 8645 Stevens Ave S, Bloomington, MN 55420-2947 2015-02-05
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Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

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.

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