CA GROUP, LLC


Address: 1404 Cross St, Suite 2940, Shiloh, IL 62269-2988
Phone: 6186073700

CA GROUP, LLC (NPI# 1619327376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619327376
Entity Type Organization
Organization Name CA GROUP, LLC
Practice Address 1404 Cross St
Suite 2940
Shiloh
IL 62269-2988
Mailing Address 4500 Memorial Drive
Memorial Hospital Credentialing Department
Belleville
IL 62226
Practice Telephone 6186073700
Practice Fax Number 6186244841
Mailing Telephone 6182574644
Mailing Fax Number 6182576946
Enumeration Date 2016-06-14
Last Update Date 2016-06-14
Authorized Official Name JAMES B DAVIS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6182574644
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295159184 Ca Group, LLC Internal Medicine 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 2014-02-12
1467876565 Ca Group, LLC Internal Medicine 830 Admiral Weinel Blvd, Columbia, IL 62236-1992 2014-02-10
1699014407 Ca Group, LLC Internal Medicine 1245 S Mill St, Nashville, IL 62263-2004 2013-02-14
1356632186 Ca Group, LLC Internal Medicine 4600 Memorial Drive, Suite W-1, Belleville, IL 62226 2011-04-27
1700189974 Ca Group, LLC Internal Medicine 317 Salem Pl, Suite180, Fairview Heights, IL 62208-1367 2010-12-09
1255634424 Ca Group, LLC Internal Medicine 310 N Seven Hills Rd, Ste 150, O Fallon, IL 62269-4111 2010-12-09
1376857656 Ca Group, LLC Internal Medicine 4550 Memorial Dr, Ste 310, Belleville, IL 62226-5372 2010-07-29

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations CA GROUP, LLC 410 William Ave S, Renton, WA 98057

Office Location

Street Address 1404 CROSS ST
SUITE 2940
City SHILOH
State IL
Zip Code 62269-2988

Providers in the same location

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
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
1578921557 Cep Americia-illinois Intensivists Internal Medicine 1404 Cross St, Shiloh, IL 62269-2988 2016-02-04
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

Providers in the same zip code

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 Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508363185 Deaconess Specialty Physicians, Inc Internal Medicine 1340 Il Highway 1 Ste A, Carmi, IL 62821 2018-04-10
1568637833 Krishnaswami Sriram Internal Medicine 611 Hunter Ln, Lake Forest, IL 60045-4905 2008-04-28
1083712467 Ohio Valley Heartcare Inc Internal Medicine 1405 Locust St, Eldorado, IL 62930-1629 2006-09-20
1912917030 Martin C Burke Internal Medicine 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 2006-08-09
1316998578 West Suburban Cardiologists, Ltd. Internal Medicine 3118 N Ashland Ave, Chicago, IL 60657-3014 2006-05-13
1952359242 Samer Dibs Internal Medicine 2222 W Division St Ste 340, Chicago, IL 60622-2995 2006-05-05
1164483145 Mehran Jabbarzadeh Internal Medicine 900 Technology Way Ste 220, Libertyville, IL 60048-5364 2006-03-30
1497754634 Rebecca Sue Riepshoff Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2005-07-19
1093712481 Erica D Engelstein Internal Medicine 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 2005-06-30
1861007239 Marian Heart Rhythm Consultants Sc Internal Medicine 2222 W Division St Ste 205, Chicago, IL 60622-3094 2020-09-13
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Competitor

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City SHILOH
Zip Code 62269

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Dataset Information

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.

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