HEALTHSTAT ON-SITE CLINIC WATLOW RICHMOND IL (NPI# 1568860500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568860500 |
Entity Type | Organization |
Organization Name | HEALTHSTAT ON-SITE CLINIC WATLOW RICHMOND IL |
Practice Address |
5710 Kenosha St Richmond IL 60071-9411 |
Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
Practice Telephone | 7045296161 |
Enumeration Date | 2014-12-08 |
Last Update Date | 2014-12-08 |
Authorized Official Name | WARREN HUTTON (COO) |
Authorized Official Telephone | 7045296161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
5710 KENOSHA ST |
City | RICHMOND |
State | IL |
Zip Code | 60071-9411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164730388 | Nippersink School District #2 | Local Education Agency (LEA) | 10006 Main Street, Richmond, IL 60071 | 2010-09-22 |
1932358876 | James Kevin Reichle | Dentist | 10015 Main St., Richmond, IL 60071 | 2008-09-16 |
1386893220 | Lisa Marie Salisbury | Dentist | 10015 Main Street, Richmond, IL 60071 | 2008-09-16 |
1881669547 | Renae Lynn St.clair | Specialist | 8311 N Route 31, Richmond, IL 60071 | 2006-02-17 |
1992847933 | Smiles By Design Group Ltd | Dentist | 10015 Main St, Richmond, IL 60071 | 2007-02-13 |
1285677450 | Richmond Township Fire Protection District | Ambulance | 5601 Hunter Dr, Richmond, IL 60071-4100 | 2006-06-14 |
1841513678 | Family Medicine Specialists, Inc. | Non-Pharmacy Dispensing Site | 9700 N Main St, Richmond, IL 60071-7716 | 2010-03-08 |
1992005870 | Family Medicine Specialists, Inc | Family Medicine | 9700 N Main St, Richmond, IL 60071-7716 | 2010-10-26 |
1023560125 | Margaret Mary Filpi | Pharmacist | 10907 Hickory Nut Way, Richmond, IL 60071-8713 | 2016-10-25 |
1245243369 | Stacey L Zarnstorff Green | Nurse Practitioner | 4719 Concord Ln, Richmond, IL 60071-9010 | 2006-08-14 |
Find all providers in zip 60071 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104263615 | Healthstat On-site Clinic/truist Richmond | Preventive Medicine | 901 E Byrd St, Richmond, VA 23219-4052 | 2013-05-24 |
1316384381 | Lisa Kurian Thanjan | Preventive Medicine | 1201 Broad Rock Blvd, Richmond, VA 23249-5910 | 2013-05-30 |
1497715478 | Gary Mcgowan | Preventive Medicine | 2621 Grove Ave, Richmond, VA 23220-4308 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164854402 | Healthstat On-site Clinic/parker Hannifin Rockford | Preventive Medicine | 10711 N 2nd St, Machesney Park, IL 61115-1459 | 2013-08-08 |
1114299476 | Martin W Harrison | Preventive Medicine | 1318 W Catalpa Ave, Chicago, IL 60640-1317 | 2012-02-02 |
1851660583 | Healthstat Inc | Preventive Medicine | 2700 Ellis Rd, Joliet, IL 60433-8459 | 2011-12-27 |
1568756831 | William Leslie Rutherford Jr. | Preventive Medicine | 9660 Wolf Rd, Box 42, Geneseo, IL 61254-9039 | 2011-06-04 |
1437451374 | Maria Rosa | Preventive Medicine | 2133 W Lexington St, Chicago, IL 60612-3707 | 2010-11-29 |
1437464112 | Leena H.a.h Almarzouqi | Preventive Medicine | 114 E Cook Ave, Libertyville, IL 60048-2015 | 2010-08-18 |
1598995870 | Shari Beth Glynn | Preventive Medicine | 100 Abbott Park Road, C/o Abbott Laboratories: Ap6d/dept. 058p, Abbott Park, IL 60064-6035 | 2009-07-21 |
1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
1063539674 | James Robert Desalvio | Preventive Medicine | 810 W. Anthony Dr., Urbana, IL 61802-7431 | 2007-03-26 |
1801913819 | Monisha Nichani-jain | Preventive Medicine | 8125 River Dr, Morton Grove, IL 60053-2642 | 2007-03-23 |
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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.