PAHROUL DAVE (NPI# 1518416791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518416791 |
| Entity Type | Individual |
| Full Name | PAHROUL DAVE |
| Credential | APN |
| Practice Address |
1209 Starfire Dr Ste 1 Ottawa IL 61350-1688 |
| Practice Telephone | 8154342115 |
| Mailing Telephone | 8154342115 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014880 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1209 STARFIRE DR STE 1 |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-1688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
| Find all providers in zip 61350 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902283161 | Stephanie Guinotte | Nurse Practitioner | 900 E Logan St, Ottawa, KS 66067-2056 | 2015-04-27 |
| 1871589960 | Brendon J Hovest | Nurse Practitioner | 601 State Route 224, Suite 2, Ottawa, OH 45875-9239 | 2005-09-23 |
| 1932647450 | Lisa Marie Mcdaniel | Nurse Practitioner | 1418 S Main St, Ste 5, Ottawa, KS 66067-3543 | 2017-02-03 |
| 1720434046 | Andrea Smith | Nurse Practitioner | 102 Putnam Pkwy, Ottawa, OH 45875-8678 | 2016-05-05 |
| 1316317498 | Paige Frey | Nurse Practitioner | 1740 N Perry St, Ottawa, OH 45875-1173 | 2015-10-01 |
| 1912314311 | Kayla Croy | Nurse Practitioner | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2014-07-17 |
| 1336565134 | Angela Marie Todd | Nurse Practitioner | 1306 Gemini Cir Ste 1, Ottawa, IL 61350 | 2014-03-17 |
| 1659620342 | Kayla A Simons | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2012-09-10 |
| 1265749345 | Fiona E Hanly | Nurse Practitioner | 410 W Main St, Ottawa, IL 61350-2802 | 2010-09-09 |
| 1548429509 | Ami M Dose | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2008-06-05 |
| Find all providers in OTTAWA | ||||
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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.