THE CENTER FOR JAW AND FACIAL SURGERY, P.C. (NPI# 1588612386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588612386 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR JAW AND FACIAL SURGERY, P.C. |
| Practice Address |
901 Medical Park Dr Suite 200 Effingham IL 62401-2191 |
| Practice Telephone | 2173424444 |
| Practice Fax Number | 2173478928 |
| Mailing Telephone | 2173424444 |
| Mailing Fax Number | 2173478928 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-03-04 |
| Authorized Official Name | DR. JAY IVOR SWANSON (PRESIDENT) |
| Authorized Official Telephone | 2173424444 |
| Authorized Official Credential | D.D.S., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019019384 | IL | Dental Providers |
| Street Address |
901 MEDICAL PARK DR SUITE 200 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234754 | Nash H. Naam | Orthopaedic Surgery | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2005-08-31 |
| 1841694809 | Rosalie Swaine | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2014-10-20 |
| 1083852685 | Gail Kreke | Licensed Practical Nurse | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2009-02-04 |
| 1992943591 | Laura Deters | Registered Nurse | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2009-02-04 |
| 1710125307 | Carla Higgs | Licensed Practical Nurse | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2009-02-04 |
| 1699920074 | Danielle M Westendorf | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2008-11-26 |
| 1093963340 | Brian N. Ogan, Md | Anesthesiology | 901 Medical Park Dr, Suite 201, Effingham, IL 62401-2191 | 2008-08-28 |
| 1174779417 | Angela Marie Slagley | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2008-08-18 |
| 1790941581 | Lisa Marie Sasso | Orthopaedic Surgery | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2008-08-01 |
| 1811166614 | Jay Ivor Swanson | Dentist | 901 Medical Park Dr, Effingham, IL 62401-2191 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679733976 | Central Illinois Oral & Maxillofacial Surgery | Dentist | 1200 Network Centre Dr Ste A, Effingham, IL 62401-4637 | 2008-06-11 |
| 1891843595 | Central Illinois Oral & Maxiofacial Surgery, PC | Dentist | 1200 Network Centre Dr, Suite B, Effingham, IL 62401-4637 | 2007-01-08 |
| 1205907581 | Thomas W Fonner | Dentist | 100 Greenview Dr Ste B, Effingham, IL 62401-3048 | 2006-11-10 |
| 1811166614 | Jay Ivor Swanson | Dentist | 901 Medical Park Dr, Effingham, IL 62401-2191 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
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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.