MITCHELL SCOGGINS (NPI# 1528512720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528512720 |
Entity Type | Individual |
Full Name | MITCHELL SCOGGINS |
Practice Address |
601 Industrial Park Rd Monmouth IL 61462-9796 |
Practice Telephone | 3097348428 |
Mailing Telephone | 3097348428 |
Enumeration Date | 2016-08-05 |
Last Update Date | 2016-08-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | 060479359 | IL | Emergency Medical Service Providers |
Street Address |
601 INDUSTRIAL PARK RD |
City | MONMOUTH |
State | IL |
Zip Code | 61462-9796 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194279414 | Joshua Woodward | Emergency Medical Technician, Paramedic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-04 |
1477007664 | Ralph Peeler | Emergency Medical Technician, Basic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-05 |
1336693522 | Brian Morefield | Emergency Medical Technician, Paramedic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-05 |
1104370493 | Casey Rexroat | Emergency Medical Technician, Basic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-04 |
1447704762 | Craig Cozadd | Emergency Medical Technician, Paramedic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740806942 | Michelle N Smith | Registered Nurse | 1220 E. 2nd Avenue, Monmouth, IL 61462 | 2020-06-23 |
1518413103 | Daniel Chard | Emergency Medical Technician, Basic | 331 S. 6th St, Monmouth, IL 61462 | 2016-09-01 |
1174079388 | Patrick Spears | Emergency Medical Technician, Paramedic | 601 Industrial Park Road, Monmouth, IL 61462 | 2016-08-28 |
1326222993 | Terri Lynn Gittings | Registered Nurse | Industrial Park Road, Bridgeway Inc, Monmouth, IL 61462 | 2007-12-19 |
1811011422 | Hancock Mcdonough Roe 21 | Local Education Agency (LEA) | 1301 N Main, Ste 3, Monmouth, IL 61462 | 2007-03-19 |
1295870137 | Warren Achievement Center Inc | Case Management | 1220 East Second Avenue, Monmouth, IL 61462 | 2007-02-20 |
1265432363 | Community Medical Center of Western Il Inc | Home Health | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2005-07-29 |
1285253997 | Catherine Jane Steck | Physical Therapist | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2020-04-13 |
1205482254 | Tonya Renee Gibbs | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-08-15 |
1285193441 | Carrie Anne Green | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-03-18 |
Find all providers in zip 61462 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518413103 | Daniel Chard | Emergency Medical Technician, Basic | 331 S. 6th St, Monmouth, IL 61462 | 2016-09-01 |
1265986582 | John Turnquist | Emergency Medical Technician, Basic | 1010 E Broadway, Monmouth, IL 61462-1977 | 2016-08-04 |
1477007664 | Ralph Peeler | Emergency Medical Technician, Basic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-05 |
1104370493 | Casey Rexroat | Emergency Medical Technician, Basic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093282188 | Equality Fire Department | Emergency Medical Technician, Basic | 138 N Calhoun St, Equality, IL 62934-1310 | 2018-10-27 |
1770061871 | Michelle C Frangella Finley | Emergency Medical Technician, Basic | 217 Summit Street, Galena, IL 61036 | 2018-07-31 |
1508305327 | Elizabeth Antosz | Emergency Medical Technician, Basic | 2234 Lake Ridge Drive, Glendale Heights, IL 60139 | 2017-02-13 |
1235582958 | Victoria Johnson | Emergency Medical Technician, Basic | 300 W Woodyard Ave, Ridge Farm, IL 61870-9467 | 2016-07-18 |
1205180569 | Bunker Hill Area Ambulance Service, Inc. | Emergency Medical Technician, Basic | 123 S Washington, Bunker Hill, IL 62014 | 2012-11-07 |
1083974042 | Yong A Lee | Emergency Medical Technician, Basic | 2367 Castilian Cir, Northbrook, IL 60062-7614 | 2012-05-24 |
1578897567 | Jennifer A Garris | Emergency Medical Technician, Basic | 332a Saint Paul St, Columbia, IL 62236-1872 | 2009-09-24 |
1174790620 | Timothy John Bauer | Emergency Medical Technician, Basic | 16243 Bormet Dr, Tinley Park, IL 60477 | 2008-05-14 |
1194863977 | Village of New Athens | Emergency Medical Technician, Basic | 301 S. Van Buren St., New Anthens, IL 62264-1569 | 2007-02-02 |
1922076595 | Nolan Phillip Ryan | Emergency Medical Technician, Basic | 1115 North Ave, Batavia, IL 60510-1142 | 2006-03-09 |
Find all providers with the same taxonomy |
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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.