PC ASSOCIATES, LLC (NPI# 1518270016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518270016 |
Entity Type | Organization |
Organization Name | PC ASSOCIATES, LLC |
Practice Address |
130 Lincoln Place Ct Belleville IL 62221-5884 |
Mailing Address |
4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 |
Practice Telephone | 6182571297 |
Practice Fax Number | 6182571529 |
Mailing Telephone | 6182574644 |
Mailing Fax Number | 6182576946 |
Enumeration Date | 2010-07-26 |
Last Update Date | 2013-02-25 |
Authorized Official Name | JAMES B. DAVIS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6182574644 |
Is Organization Subpart | Y |
Parent Organization Name | PC ASSOCIATES, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548786460 | Pc Associates, LLC | Family Medicine | 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236-2163 | 2017-08-22 |
1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
1386950012 | Pc Associates, LLC | Family Medicine | 1245 S Mill St # 231, Nashville, IL 62263-2004 | 2010-08-18 |
1619280112 | Pc Associates, LLC | Family Medicine | 4017 Illinios Rt. 159, Ste 101, Smithton, IL 62285 | 2010-07-26 |
1417260613 | Pc Associates, LLC | Family Medicine | 830 Admiral Weinel Blvd, Columbia, IL 62236-1992 | 2010-07-16 |
1982917183 | Pc Associates, LLC | Family Medicine | 501 Beltline Road, Ste 20-d, Collinsville, IL 62234-4410 | 2010-07-16 |
1184717019 | Pc Associates, LLC | Family Medicine | 310 N. Seven Hills Road, O'fallon, IL 62269 | 2006-10-02 |
1881117125 | Pc Associates, LLC | Internal Medicine | 1414 Cross St Ste 230, Shiloh, IL 62269-2988 | 2017-07-19 |
1629443601 | Pc Associates, LLC | Family Medicine | 3 Park Pl, Swansea, IL 62226-2965 | 2015-12-02 |
Street Address |
130 LINCOLN PLACE CT |
City | BELLEVILLE |
State | IL |
Zip Code | 62221-5884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801866462 | Irina Polansky | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-25 |
1013238260 | Pamela A O'neal | Nurse Practitioner | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2010-06-22 |
1346432465 | Stephen Gregory Hipskind | Family Medicine | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-08-13 |
1629285515 | Karen Ann Ham | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-05-17 |
1548318983 | Audrey R Meyer | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-01-08 |
1063424984 | Kevin Wilson | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-08-12 |
1598736514 | Susan Keller | Nurse Practitioner | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
Find all providers in zip 62221 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952953903 | Dr. Nesochi LLC | Internal Medicine | 50 Newark Ave Ste 108, Belleville, NJ 07109-1193 | 2019-07-10 |
1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
1730501206 | Maria Bernadette Bahena Yballe | Internal Medicine | 40 Bernice Rd, Belleville, NJ 07109-1508 | 2014-01-17 |
1578861787 | Medical Board Prep Inc | Internal Medicine | 5 Franklin Ave Ste 505, Belleville, NJ 07109-3566 | 2011-03-11 |
1558695494 | Paul Anthony Rusnack | Internal Medicine | 6 Sixteenth Green Ct, Belleville, IL 62220-4836 | 2009-09-24 |
1376785626 | Mustafa Sidali Do PC | Internal Medicine | 380 Union Ave, Belleville, NJ 07109-2122 | 2009-04-01 |
1003096140 | Dennis P Larson | Internal Medicine | 509 E Waters Edge Dr, Belleville, IL 62221-7813 | 2007-11-06 |
1336273119 | Jawad Khan | Internal Medicine | 8601 West Main Street, Suite 101, Belleville, IL 62223 | 2007-03-15 |
1649321183 | Ventrapragada S Mohan | Internal Medicine | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-12 |
1710075452 | Francis Thomas Molinari | Internal Medicine | 625 Joralemon Street, Belleville, NJ 07109 | 2006-10-10 |
Find all providers in BELLEVILLE |
City | BELLEVILLE |
Zip Code | 62221 |
Please comment or provide details below to improve the information on PC ASSOCIATES, LLC.
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.