DR. JESSE JOE HANISCH (NPI# 1497192785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497192785 |
| Entity Type | Individual |
| Full Name | DR. JESSE JOE HANISCH |
| Credential | M.D., PH.D. |
| Practice Address |
101 Health Care Dr Greenville IL 62246-1159 |
| Practice Telephone | 6186512732 |
| Mailing Telephone | 6186512732 |
| Mailing Fax Number | 6186512842 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036154307 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 065103220 | 2037857890 | 2037375209 |
| 9515 Holy Cross Ln, Breese, IL 622303618 | 6185268430 | 6185267275 |
| Street Address |
101 HEALTH CARE DR |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396726121 | Richard Dean Funneman | Emergency Medicine | 101 Health Care Dr, Greenville, IL 62246-1159 | 2005-11-09 |
| 1720520208 | Aften Wessel | Nurse Practitioner | 101 Health Care Dr, Greenville, IL 62246-1159 | 2016-11-15 |
| 1316495765 | Angela Veanne Jolliff | Nurse Practitioner | 101 Health Care Dr, Greenville, IL 62246-1159 | 2016-09-14 |
| 1942456595 | Christy Leann Forbes | Nurse Practitioner | 101 Health Care Dr, Greenville, IL 62246-1159 | 2008-08-14 |
| 1326183880 | Kathleen Alma Johnson | Nurse Practitioner | 101 Health Care Dr, Greenville, IL 62246-1159 | 2007-02-21 |
| 1689629107 | Philip Edward Siefken | Family Medicine | 101 Health Care Dr, Greenville, IL 62246-1159 | 2006-05-23 |
| 1427033547 | Kulin N Oza | Surgery | 101 Health Care Dr, Greenville, IL 62246-1159 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| 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 |
|---|---|---|---|---|
| 1790213833 | Judson Chase Woollen | Surgery | 701 Grove Rd Fl 3, Greenville, SC 29605-4210 | 2017-06-02 |
| 1962792580 | Jessica Gonzalez Hernandez | Surgery | Carolina Surgical Associates Eastside, 135 Commonwealth Drive Ste 210, Greenville, SC 29615-4850 | 2011-04-15 |
| 1730406067 | Pablo Gabriel Giuseppucci | Surgery | 115 Woodshire Rd, Greenville, PA 16125-1215 | 2010-04-27 |
| 1831345081 | Bindhu Oommen | Surgery | 4215 Joe Ramsey Blvd E Ste 220, Greenville, TX 75401-7852 | 2008-08-07 |
| 1538377833 | David Joseph Skarupa | Surgery | 600 Moye Blvd, 2ed, Ecu Brody School of Medicine Dept of Surgery, Greenville, NC 27834 | 2007-05-18 |
| 1639385354 | Patricia Lynn Eichhorn | Surgery | 2104 Woodruff Road, Greenville, SC 29607 | 2007-05-16 |
| 1275690232 | I. H. Shah, M.d. and S. Hasan, M.d. and Associates | Surgery | 4004 Medical Parkway, Greenville, TX 75401 | 2007-01-02 |
| 1245316439 | Donald R Gilbert | Surgery | 2106 Woodruff Rd, Greenville, SC 29607 | 2006-10-31 |
| 1619059334 | John C Mobley | Surgery | 404 Wagner Ave, Greenville, OH 45331-2537 | 2006-10-20 |
| 1184712101 | Norman F. Mcgowin IIi | Surgery | 45 Medical Arts Ct Ste 4, Greenville, AL 36037-3872 | 2006-10-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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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.