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).
| 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 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CA GROUP, LLC | 410 William Ave S, Renton, WA 98057 |
| Street Address |
1404 CROSS ST SUITE 2940 |
| 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 |
| 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 | ||||
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| 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. |
| 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 |
| 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.