DR. ROBERT H MANOOGIAN (NPI# 1568421063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568421063 |
| Entity Type | Individual |
| Full Name | DR. ROBERT H MANOOGIAN |
| Credential | DO |
| Practice Address |
14640 John Humphrey Dr #201 Orland Park IL 60462 |
| Mailing Address |
14640 John Humphrey Dr Orland Park IL 60462 |
| Practice Telephone | 7084607050 |
| Practice Fax Number | 7084607052 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036058931 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 21609232 | 01 |
| Street Address |
14640 JOHN HUMPHREY DR #201 |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407879547 | Paul T Atkenson | Orthopaedic Surgery | 14640 John Humphrey Dr, Orland Park, IL 60462-2698 | 2006-07-26 |
| 1811504541 | Jennifer Opalecky | Physical Therapist | 14640 John Humphrey Dr, Orland Park, IL 60462-2698 | 2020-09-27 |
| 1417374190 | Justin Bergmann | Physical Therapist | 14640 John Humphrey Dr, Orland Park, IL 60462-2698 | 2014-03-19 |
| 1831316991 | Julie Ann Swan | Physical Therapist | 14640 John Humphrey Dr, Orland Park, IL 60462-2698 | 2007-04-19 |
| 1568589844 | Orland Therapy Specialists Ltd | Physical Therapist | 14640 John Humphrey Dr, Suite 102, Orland Park, IL 60462-5854 | 2007-03-23 |
| 1942373048 | Lydia T Novak | Physical Therapist | 14640 John Humphrey Dr, Suite 102, Orland Park, IL 60462-5854 | 2006-11-16 |
| 1184638108 | Robert J Atkenson | Orthopaedic Surgery | 14640 John Humphrey Dr, Orland Park, IL 60462-2698 | 2006-07-27 |
| 1922021005 | Paul T Atkenson, Mdsc | Orthopaedic Surgery | 14640 John Humphrey Dr, Orland Park, IL 60462-2698 | 2006-07-26 |
| 1710900832 | Robert J Atkenson, Mdsc | Orthopaedic Surgery | 14640 John Humphrey Dr, Orland Park, IL 60462-2698 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174084958 | Merime Shabani | Family Medicine | 11840 Bates Ct, Orland Park, IL 60467-1701 | 2019-03-26 |
| 1639592736 | Senior Healthcare & Rehab LLC | Family Medicine | 15347 S 70th Ct, Suite 2, Orland Park, IL 60462-5156 | 2014-01-24 |
| 1750667754 | St James Hospital United States Catholic Conference | Family Medicine | 18030 Wolf Rd, Orland Park, IL 60467-5407 | 2011-10-24 |
| 1760638878 | Chimezie Uzodimma Okochi | Family Medicine | 16134 Hillcrest Cir, Orland Park, IL 60467-5565 | 2008-08-09 |
| 1538205067 | Bienvenido Q Camacho | Family Medicine | 7361 Mimosa Dr, Orland Park, IL 60462-5130 | 2007-01-30 |
| 1659434108 | Kenneth W Anderson IIi | Family Medicine | 14451 Morningside Rd, Orland Park, IL 60462-7413 | 2006-12-18 |
| 1760577829 | Primary Health Associates PC | Family Medicine | 16604 S 107th Ct, Orland Park, IL 60467-8898 | 2006-10-04 |
| 1508976747 | Richard H Geiger Jr. | Family Medicine | 10743 West 165th Street, Orland Park, IL 60467 | 2006-08-30 |
| 1760405666 | Albert B Poronsky | Family Medicine | 15300 West Ave Bldg A1, Orland Park, IL 60462-4600 | 2006-07-25 |
| 1255351045 | William Mikaitis Md Sc | Family Medicine | 10811 W 143rd St, Ste 100, Orland Park, IL 60467-1913 | 2006-07-21 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
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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.