MACOUPIN FAMILY PRACTICE CENTERS, LLP (NPI# 1568652436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568652436 |
| Entity Type | Organization |
| Organization Name | MACOUPIN FAMILY PRACTICE CENTERS, LLP |
| Other Organization Name | GILLESPIE FAMILY PRACTICE CENTER |
| Practice Address |
715 Broadway St Gillespie IL 62033-1166 |
| Practice Telephone | 2178394491 |
| Practice Fax Number | 2178392689 |
| Mailing Telephone | 2178394491 |
| Mailing Fax Number | 2178392689 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. BRUCE F WEBER (DIRECTOR) |
| Authorized Official Telephone | 2178394491 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gillespie Family Practice Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649460510 | Macoupin Family Practice Centers, LLP | Family Medicine | 910 W Main St, Carlinville, IL 62626-1200 | 2007-07-27 |
| 1477743342 | Macoupin Family Practice Centers, LLP | Family Medicine | 115 N Poplar St, Mount Olive, IL 62069-1613 | 2007-07-27 |
| 1538369277 | Macoupin Family Practice Centers, LLP | Family Medicine | 910 W Main St, Carlinville, IL 62626-1200 | 2007-07-20 |
| 1881894533 | Macoupin Family Practice Centers, LLP | Family Medicine | 115 N Poplar St, Mount Olive, IL 62069-1613 | 2007-07-20 |
| Street Address |
715 BROADWAY ST |
| City | GILLESPIE |
| State | IL |
| Zip Code | 62033-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870591 | Bruce Frank Weber | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| 1245706548 | Samantha Kay Rogers | Nurse Practitioner | 715 Broadway St, Gillespie, IL 62033-1166 | 2018-10-15 |
| 1609238518 | Mary Amanda Pittman | Nurse Practitioner | 715 Broadway St, Gillespie, IL 62033-1166 | 2016-03-22 |
| 1811389935 | Hollie Trettenero | Nurse Practitioner | 715 Broadway St, Gillespie, IL 62033-1166 | 2015-02-26 |
| 1497994727 | Jaclyn Joy Hake | Physician Assistant | 715 Broadway St, Gillespie, IL 62033-1166 | 2009-02-10 |
| 1194915074 | Macoupin Family Practice Center, LLP | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2007-07-27 |
| 1699899070 | Macoupin Family Practice Centers LLP | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2007-03-19 |
| 1477586121 | Jason K Manthei | Physician Assistant | 715 Broadway St, Gillespie, IL 62033-1166 | 2006-07-08 |
| 1992709984 | Chris Philip Poirot | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| 1417951401 | Brian Lee Quarton | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596950 | Laura Michelle Halpin | Physical Therapist | 607 Litchfield Road, Gillespie, IL 62033 | 2019-03-12 |
| 1770942716 | Carol Candler | Nurse Practitioner | 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 | 2016-02-18 |
| 1932519618 | Terry Allan | Pharmacist | 113 South Macoupin Street, Gillespie, IL 62033 | 2014-05-02 |
| 1649414558 | Bernadette Kathlene Sobczak | Nurse Practitioner | 807 Broadway, Gillespie, IL 62033 | 2009-04-22 |
| 1376765206 | Sheri Lynne Banovic | Nurse Practitioner | 115 South Macoupin Street, Gillespie, IL 62033 | 2007-05-02 |
| 1215044920 | James Paul Verton | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
| 1427575612 | Beth Lynn Sies | Speech-Language Pathologist | 340 Kelly St, Gillespie, IL 62033 | 2017-08-28 |
| 1356599971 | Julia Terese Ruckman | Social Worker | 109 E Maple St, Gillespie, IL 62033 | 2008-09-08 |
| 1124135835 | Bruce W Hughes | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| Find all providers in zip 62033 | ||||
| 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 |
|---|---|---|---|---|
| 1609870591 | Bruce Frank Weber | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| 1194915074 | Macoupin Family Practice Center, LLP | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2007-07-27 |
| 1699899070 | Macoupin Family Practice Centers LLP | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2007-03-19 |
| 1992709984 | Chris Philip Poirot | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| 1417951401 | Brian Lee Quarton | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
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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.