DR. DENNIS PAUL MLOT (NPI# 1609955715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609955715 |
Entity Type | Individual |
Full Name | DR. DENNIS PAUL MLOT |
Credential | M.D. |
Practice Address |
2413 Broadway St Mount Vernon IL 62864-2917 |
Practice Telephone | 6182446559 |
Mailing Telephone | 6182446559 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-10-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
036105686 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036105686 | 05 | |
IL | BCBS | 04132003 | 01 |
Street Address |
2413 BROADWAY ST |
City | MOUNT VERNON |
State | IL |
Zip Code | 62864-2917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972503423 | Calvin C Chiu | Obstetrics & Gynecology | 2413 Broadway St, Mount Vernon, IL 62864-2917 | 2005-07-27 |
1851580195 | Dennis P Mlot Md LLC | Otolaryngology | 2413 Broadway St, Mount Vernon, IL 62864-2917 | 2007-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
Find all providers in zip 62864 |
Taxonomy Code | 207YX0602X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngic Allergy |
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215368717 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2013-12-09 |
1851580195 | Dennis P Mlot Md LLC | Otolaryngology | 2413 Broadway St, Mount Vernon, IL 62864-2917 | 2007-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811150964 | John P. Hung, M.d.,s.c. | Otolaryngology | 19 Heritage Plz, Suite 210, Bourbonnais, IL 60914-1369 | 2008-07-09 |
1386715142 | John P Hung | Otolaryngology | 19 Heritage Plaza, Suite 210, Bourbonnais, IL 60914-1369 | 2006-11-13 |
1235305954 | Harry R. Ruth, M.d.,p.c. | Otolaryngology | 1107 College Ave, Suite 2, Quincy, IL 62301-2664 | 2008-05-02 |
1104006758 | Raymond Daou, Md, PC | Otolaryngology | 150 N River Rd, Ste 200, Des Plaines, IL 60016-1272 | 2007-11-12 |
1821278565 | Raymond Daou, Md, PC | Otolaryngology | 111 Spring St, St Francis Hall Ste 302, Streator, IL 61364-3332 | 2007-11-09 |
City | MOUNT VERNON |
Zip Code | 62864 |
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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.