ELLIOTT LHOSPITAL (NPI# 1568880243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568880243 |
| Entity Type | Individual |
| Full Name | ELLIOTT LHOSPITAL |
| Credential | D.O. |
| Practice Address |
405 W Jackson St Carbondale IL 62901-1462 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6185490721 |
| Practice Fax Number | 6183514957 |
| Mailing Telephone | 6184575200 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036.149581 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 S Hospital Dr, Murphysboro, IL 629663333 | 6186843156 | 6185290538 |
| 201 S 14th St, Herrin, IL 629483631 | 6189422171 | 6183514935 |
| Street Address |
405 W JACKSON ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726851 | Shahriar Bozorgzadeh | Emergency Medicine | 405 W Jackson St, Carbondale, IL 62901-1462 | 2005-08-03 |
| 1568071132 | Cynthia Sue Davis | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-07-29 |
| 1629686019 | Dianne Zuasula Catolos | Physical Therapist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-07-21 |
| 1871113696 | Summer R Black | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-04-22 |
| 1871123067 | Hailee Elizabeth Bowlin | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-01-16 |
| 1972061737 | Briana Nichole Jones | Speech-Language Pathologist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2019-03-11 |
| 1700362183 | John Grady Johnston Jr. | Registered Nurse | 405 W Jackson St, Carbondale, IL 62901 | 2018-07-18 |
| 1972099067 | Andrew Mcnally | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-07-02 |
| 1134610587 | Megan E Sims | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-22 |
| 1447749833 | Erika Diericx | Pharmacist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619105897 | Heather L Barrett | Pathology | 405 W Jackson St, Attn: Pathology Department, Carbondale, IL 62901-1462 | 2009-06-26 |
| 1003846247 | Rupal R Parmar | Pathology | 405 W Jackson St, Carbondale, IL 62901-1462 | 2006-07-04 |
| 1588649024 | Southern Illinois Pathology, PC | Pathology | 404 W Main St, Pathology Department, Carbondale, IL 62901-2904 | 2005-12-07 |
| 1306820121 | Moses O. Adeyanju | Pathology | 405 W Jackson St, Pathology Department, Carbondale, IL 62901-1462 | 2005-12-05 |
| 1396729687 | Chandrashekar Padmalatha | Pathology | 405 W Jackson St, Carbondale, IL 62901-1462 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930145 | Uttamjot Kaur | Pathology | 2650 Ridege Avenue, Evanston Hospital, Chicago, IL 60613-6061 | 2020-10-21 |
| 1770131831 | Reditus Laboratories | Pathology | 1805 Riverway Dr, Pekin, IL 61554-9309 | 2019-08-30 |
| 1679137756 | Hans-magne Hansen Hamnvag | Pathology | 2460 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
| 1497229157 | Almasri Medical LLC | Pathology | 8150 185th St Ste A, Tinley Park, IL 60487-9319 | 2019-01-16 |
| 1689188062 | Karina Colossi Furlan | Pathology | 1750 W Harrison St Fl 5, Chicago, IL 60612-3825 | 2017-11-21 |
| 1245753961 | Ayse Irem Kilic | Pathology | 2160 South First Ave., Maywood, IL 60153-3328 | 2017-07-25 |
| 1073967162 | Lucy Fu | Pathology | 303 East Chicago Avenue Ward 3-140 W127, Chicago, IL 60611-1059 | 2016-04-14 |
| 1679930457 | Lindsay Alpert | Pathology | 150 Harvester Drive, Suite 300, Burr Ridge, IL 60527-6686 | 2016-01-25 |
| 1831573898 | Indu Agarwal | Pathology | 2100 Valencia Dr, #314b, Northbrook, IL 60062-7063 | 2015-07-18 |
| 1053790113 | Lisa Han | Pathology | 5841 S. Maryland Ave., Rm. S323, Mc 3083, Chicago, IL 60637-1470 | 2015-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.