GARY B. CARPENTER (NPI# 1508845512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508845512 |
| Entity Type | Individual |
| Full Name | GARY B. CARPENTER |
| Credential | MD |
| Practice Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 2172226550 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2008-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 036095444 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036095444 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649533738 | Gary R Carpenter Jr. | Internal Medicine | 55 Greene Ave, Llb, Brooklyn, NY 11238-6406 | 2012-06-22 |
| 1043399678 | Gary E Carpenter Sr. | Dentist | 401 E 10th Ave, Suite 210, Eugene, OR 97401 | 2006-11-03 |
| 1922197961 | Gary G Carpenter | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4413 | 2006-10-11 |
| 1336241801 | Gary Miller Carpenter | Social Worker | 5850 Town & Country Blvd, Suite 801, Frisco, TX 75034-6953 | 2006-09-03 |
| Street Address |
1025 MAINE ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833860 | Don Manarang | Family Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2005-06-28 |
| 1518571546 | Amy E Durst | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2020-09-08 |
| 1477178820 | Bradley Allen Staten | Physician Assistant | 1025 Maine St, Quincy, IL 62301-4038 | 2020-06-11 |
| 1316586613 | Shari W Robesky | Social Worker | 1025 Maine St, Quincy, IL 62301-4038 | 2020-01-03 |
| 1154968675 | Erica A Fitzgerald | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2019-12-03 |
| 1366088007 | Paul D Warning | Counselor | 1025 Maine St, Quincy, IL 62301-4096 | 2019-11-18 |
| 1457902884 | Alison J Simmons | Occupational Therapist | 1025 Maine St, Quincy, IL 62301-4096 | 2019-09-26 |
| 1841847464 | Sarah J Thacker | Registered Nurse | 1025 Maine St, Quincy, IL 62301-4096 | 2019-08-19 |
| 1740832252 | Olivia P Rees | Dietitian, Registered | 1025 Maine St, Quincy, IL 62301-4096 | 2019-07-15 |
| 1386206795 | Luke A Ellerman | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2019-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104989409 | Zorian P Trusewych | Allergy & Immunology | 1707 N 12th St, Bldg 29m, Quincy, IL 62301 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749813 | Thao T Doan | Allergy & Immunology | 523 Sandy Ln, Libertyville, IL 60048-3553 | 2018-11-17 |
| 1275063695 | Chicago Allergy & Asthma, LLC | Allergy & Immunology | 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 | 2017-06-18 |
| 1982022810 | Kirk Van Shepard II | Allergy & Immunology | 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 | 2014-03-28 |
| 1790102176 | Jennifer Christine Simonaire | Allergy & Immunology | 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 | 2014-03-24 |
| 1558794446 | Sarah M Boudreau-romano | Allergy & Immunology | 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 | 2013-08-14 |
| 1821420209 | Donald Ernest Temple | Allergy & Immunology | 110 E Delaware Pl, Chicago, IL 60611-1481 | 2013-08-07 |
| 1013259647 | Melissa Lee Robinson | Allergy & Immunology | 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 | 2013-03-21 |
| 1871859645 | Sarah Garon | Allergy & Immunology | 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 | 2012-04-06 |
| 1386919421 | Henry J. Dold | Allergy & Immunology | 1300 Kenilworth Av, Glenview, IL 60025-2204 | 2012-03-21 |
| 1386919538 | Diosdado T Lim | Allergy & Immunology | 7520 W. Ute Ln, Palos Heights, IL 60463-2076 | 2012-03-20 |
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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.