DR. THOMAS FRANCIS BYRNE (NPI# 1629164611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629164611 |
| Entity Type | Individual |
| Full Name | DR. THOMAS FRANCIS BYRNE |
| Credential | M.D. |
| Practice Address |
4500 Memorial Dr Belleville IL 62226-5360 |
| Mailing Address |
Po Box 7085 Jupiter FL 33468-7085 |
| Practice Telephone | 6182575879 |
| Practice Fax Number | 6182576740 |
| Mailing Telephone | 6182396565 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2012005127 | MO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 24736 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 930024249 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1015 Bowles Ave, Fenton, MO 630262394 | 6364962000 | 3149961681 |
| 100 Medical Plz, Lake St Louis, MO 633671366 | 6366255200 | 6366255314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417380718 | Thomas Edward Byrne | General Practice | 1057 Revolutionary Trl, Fairfax, SC 29827-7127 | 2013-08-10 |
| 1396028635 | Thomas Michael Byrne | Psychologist | 74 Roxen Rd, Rockville Centre, NY 11570-1513 | 2011-09-22 |
| 1164581849 | Thomas J Byrne | Physician Assistant | 109. E Harrison Ave., Coeur D Alene, ID 83814-2785 | 2006-12-08 |
| 1225047293 | Thomas E Byrne | Psychiatry & Neurology | 120 Oakbrook Center Mall, Suite 704, Oak Brook, IL 60523 | 2006-08-07 |
| 1639671126 | Thomas Gerard Byrne | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2018-03-01 |
| 1750718441 | Thomas James Byrne | Physical Therapist | 32 Indian Rock Rd, Unit 5, Windham, NH 03087-1697 | 2013-09-26 |
| 1013043827 | Thomas Bernard Byrne | Internal Medicine | 827 Linden Ave, Baltimore, MD 21201-4606 | 2007-02-26 |
| 1356416358 | Thomas M Byrne | Pediatrics | 18018 Burke Street, Elkhorn, NE 68022-4417 | 2006-11-22 |
| 1972617520 | Thomas Byrne | Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-19 |
| 1154388759 | Thomas Edward Byrne | Family Medicine | 202 N Park Ave, Apopka, FL 32703-4148 | 2006-04-27 |
| Street Address |
4500 MEMORIAL DR |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045568 | Kenneth I Bluestone | Anesthesiology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2005-07-01 |
| 1558979690 | Protestant Memorial Medical Center, Inc. | Clinical Medical Laboratory | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-07-15 |
| 1841815784 | Kayla Marie Tisza | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-06-16 |
| 1588289581 | Katie O'rourke | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-06-15 |
| 1518592203 | Daniela Vetan-zlibut | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-03-03 |
| 1396377289 | Kathryn Cook | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-02-07 |
| 1124650353 | Jessica Stricklin | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5399 | 2020-02-05 |
| 1396375788 | Emily Jean Sloan | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-01-24 |
| 1629639695 | Nicholas Raburn | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2019-06-21 |
| 1124582523 | Jenna Dornak | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750525432 | Raafat Barsoom | Emergency Medicine | 103 Dewitt Ave, 1, Belleville, NJ 07109-2500 | 2009-04-27 |
| 1861654774 | Bonham Emergency Medicine LLC | Emergency Medicine | 76 Carlyle Plaza Dr, Belleville, IL 62221-6677 | 2008-07-01 |
| 1194912295 | Vincent Paul Canabal | Emergency Medicine | 46 New St, Belleville, NJ 07109-2006 | 2007-10-02 |
| 1093817355 | Michelle M Vandorn | Emergency Medicine | 4315 Memorial Dr, Belleville, IL 62226-5342 | 2006-09-05 |
| 1093759235 | Allison Lam | Emergency Medicine | Clara Maass Medical Center, 1 Clara Maass Drive, Belleville, NJ 07109 | 2006-06-16 |
| 1609858117 | Terry Geurkink | Emergency Medicine | 1675 Bartlett Ct, Belleville, WI 53508-9712 | 2005-11-18 |
| 1487004792 | Emily Halldorson Bakosi | Emergency Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2016-06-16 |
| 1184007858 | Noah Futterman | Emergency Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2015-06-30 |
| 1629463856 | Joanne Ahn | Emergency Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2015-04-03 |
| 1609289636 | Michael Jin Kim | Emergency Medicine | 180 S 3rd St Ste 300, Belleville, IL 62220-1952 | 2014-06-06 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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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.