DR. CHADRICK RYAN EVANS (NPI# 1588956635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588956635 |
Entity Type | Individual |
Full Name | DR. CHADRICK RYAN EVANS |
Credential | M.D. |
Practice Address |
1001 Main St Suite 300 Peoria IL 61606-1907 |
Practice Telephone | 3094950201 |
Practice Fax Number | 3096766545 |
Mailing Telephone | 3094950201 |
Mailing Fax Number | 3096766545 |
Enumeration Date | 2011-05-09 |
Last Update Date | 2020-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
36138899 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036138899-1 | 05 |
Street Address |
1001 MAIN ST SUITE 300 |
City | PEORIA |
State | IL |
Zip Code | 61606-1907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356719736 | Rachel Delong | Nurse Practitioner | 1001 Main St, Suite 300, Peoria, IL 61606-1907 | 2015-09-02 |
1730456914 | Justin Lee Fischer | Colon & Rectal Surgery | 1001 Main St, Ste 300, Peoria, IL 61606-2036 | 2011-11-16 |
1518260199 | Jodi Renee Stoner | Clinical Nurse Specialist | 1001 Main St, Suite 200, Peoria, IL 61606-1907 | 2010-12-21 |
1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
1124344023 | Jamie Doubet | Registered Nurse | 1001 Main St, 3rd Floor, Peoria, IL 61606-1907 | 2010-04-16 |
1114258167 | Ryan M Dunn | Internal Medicine | 1001 Main St, Suite 200, Peoria, IL 61606-1907 | 2010-01-14 |
1134352842 | Illinois Specialty Physician Services At Osf, LLC | Internal Medicine | 1001 Main St, Ste 200, Peoria, IL 61606-1907 | 2009-08-27 |
1154555852 | Brynn N Cinnamon | Registered Nurse | 1001 Main St, Suite 500a, Peoria, IL 61606-1907 | 2009-05-08 |
1790924306 | Central Illinois Endoscopy Center, LLC | Clinic/Center | 1001 Main St, Ste 530, Peoria, IL 61606-1907 | 2009-02-05 |
1255587812 | Stephanie Cain | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606-1907 | 2008-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
1205864170 | Norman C Estes | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
Find all providers in zip 61606 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine 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: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275709438 | Abigail Kirsten Tarbox | Surgery | 676 N St Claire St, Northwestern Memorial Hospital, Chicago, IL 60611 | 2008-05-07 |
1235304551 | Peter Gerard Bendix | Surgery | 5841 S Maryland Ave # 5033, Chicago, IL 60637-1443 | 2008-04-28 |
1033258397 | Laurel Ann Omert | Surgery | 9249 Lincolnwood Dr, Evanston, IL 60203-1609 | 2007-02-05 |
1295753093 | Carlos Ortega Md Sc | Surgery | 5140 N California Ave Ste 780, Chicago, IL 60625-7066 | 2006-07-18 |
1154397495 | Geoffrey Silver | Surgery | 2160 S. First Avenue, Bldg 110, 3rd Floor, Maywood, IL 60153 | 2006-02-27 |
1457787475 | Giovanni D. Giannotti Md, S.c. | Surgery | 2222 W Division St, Suite 335, Chicago, IL 60622-2717 | 2013-09-23 |
1295025534 | Jennifer Turney Cone | Surgery | 5841 S Maryland Ave # Mc5033, Chicago, IL 60637-1443 | 2011-04-07 |
1124253935 | Anne M Stey | Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2009-05-22 |
1134369630 | Nikunj K. Chokshi | Surgery | 5841 S Maryland Ave, Chicago, IL 60637 | 2009-02-24 |
1922254127 | Elizabeth Gwinn | Surgery | 836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147 | 2008-08-07 |
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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.