CEP AMERICIA-ILLINOIS INTENSIVISTS (NPI# 1578921557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578921557 |
| Entity Type | Organization |
| Organization Name | CEP AMERICIA-ILLINOIS INTENSIVISTS |
| Practice Address |
1404 Cross St Shiloh IL 62269-2988 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 6182337750 |
| Mailing Telephone | 5103502680 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | THEOPHILE KOURY (ADMINISTRATIVE VP OF OPERATIONS) |
| Authorized Official Telephone | 5103502600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1404 CROSS ST |
| City | SHILOH |
| State | IL |
| Zip Code | 62269-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801023155 | Wendy Maclean | Emergency Medicine | 1404 Cross St, Shiloh, IL 62269 | 2009-06-14 |
| 1902389711 | Cynthia Ann Davis | Registered Nurse | 1404 Cross St, Shiloh, IL 62269-2988 | 2018-09-08 |
| 1942712476 | Cep America - Illinois Snf, LLP | Internal Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2017-10-24 |
| 1760939060 | Msa Alliance, LLC | Internal Medicine | 1404 Cross St, Suite 2114, Shiloh, IL 62269-2988 | 2016-09-02 |
| 1619327376 | Ca Group, LLC | Internal Medicine | 1404 Cross St, Suite 2940, Shiloh, IL 62269-2988 | 2016-06-14 |
| 1477917656 | Oa Associates, LLC | Orthopaedic Surgery | 1404 Cross St, 2nd Floor Suite 2941, Shiloh, IL 62269-2988 | 2016-04-13 |
| 1770946204 | Ob Practice, LLC | Obstetrics & Gynecology | 1404 Cross St, Third Floor Suite 3181, Shiloh, IL 62269-2988 | 2016-04-01 |
| 1619335106 | Cep America-illinois Hospitalists, LLP | Family Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2016-01-29 |
| 1134587637 | Cep America Illinois LLP | Emergency Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2016-01-29 |
| 1699146431 | Linsey Krafve | Physician Assistant | 1404 Cross St, Shiloh, IL 62269-2988 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134642531 | Msa Alliance, LLC | Internal Medicine | 1414 Cross St Ste 210, Shiloh, IL 62269-2988 | 2017-07-18 |
| 1689802001 | Brian August Reichardt | Internal Medicine | 1116 Hartman Ln, Shiloh, IL 62221-8014 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861970626 | Suburban Pulmonary & Critical Care Assoc, Inc | Internal Medicine | 3 Erie Ct Ste 7010, Oak Park, IL 60302-2519 | 2018-08-03 |
| 1265883441 | Kunal H. Patel | Internal Medicine | 9600 Gross Point Rd. Im/icu Hospitalists, Skokie, IL 60076-1900 | 2016-06-28 |
| 1760896633 | Zohaib Akhtar | Internal Medicine | 301 S Park Ave, Herrin, IL 62948-3603 | 2014-06-18 |
| 1699187344 | Said Abuhasna | Internal Medicine | 800 Biesterfield Rd Ste 105, Elk Grove Village, IL 60007-3372 | 2014-05-29 |
| 1053678755 | Nida Junaid | Internal Medicine | 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | 2012-04-18 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1225340045 | Praveen R. Anegondhi Sudhindra | Internal Medicine | 5401 N Knoxville Ave Ste 412b, Peoria, IL 61614-5082 | 2010-07-09 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1568789485 | Suleman A Umar | Internal Medicine | 4440 W 95th St Rm 190s, Oak Lawn, IL 60453-2600 | 2010-05-03 |
| 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.