ARBHA VONGSVIVUT (NPI# 1639206154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639206154 |
| Entity Type | Individual |
| Full Name | ARBHA VONGSVIVUT |
| Credential | MD |
| Practice Address |
815 E 5th St Suite 101 Alton IL 62002 |
| Practice Telephone | 6184620547 |
| Practice Fax Number | 6184620570 |
| Mailing Telephone | 6184620547 |
| Mailing Fax Number | 6184620570 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
815 E 5TH ST SUITE 101 |
| City | ALTON |
| State | IL |
| Zip Code | 62002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952410060 | Mike P. Homan | Social Worker | 815 E 5th St, Suite 101, Alton, IL 62002 | 2006-08-30 |
| 1548894736 | Kelsey Michele Cunningham | Physical Therapist | 815 E 5th St, Alton, IL 62002-6471 | 2020-02-26 |
| 1417495896 | Alyssa Embick | Occupational Therapist | 815 E 5th St, Alton, IL 62002-6471 | 2017-02-06 |
| 1205373008 | Kirstin Fischer | Physical Therapist | 815 E 5th St, Alton, IL 62002-6471 | 2017-01-31 |
| 1669824439 | Bi-state Oral and Facial Surgery, LLC | Dentist | 815 E 5th St, Suitw 411, Alton, IL 62002-6471 | 2016-07-06 |
| 1023415213 | Lea Anne Varble | Social Worker | 815 E 5th St, Suite 101, Alton, IL 62002-6471 | 2014-12-03 |
| 1730584806 | Jersey Community Hospital | Psychiatry & Neurology | 815 E 5th St, Suite 205, Alton, IL 62002-6471 | 2014-10-30 |
| 1457604704 | Staci M Knox | Social Worker | 815 E 5th St, Suite 101, Alton, IL 62002-6471 | 2012-10-24 |
| 1861740375 | Frances Ann Young | Physical Therapist | 815 E 5th St, Suite A, Alton, IL 62002-6471 | 2012-08-15 |
| 1043566425 | Kelly Ann Bogowith | Physical Therapist | 815 E 5th St, Suite A, Outpatient Rehabilitation Services, Alton, IL 62002-6471 | 2012-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619105293 | Karna D Sherwood | Psychiatry & Neurology | 2 Saint Anthonys Way Ste 300, Alton, IL 62002-4569 | 2009-06-23 |
| 1205883097 | Ajitesh Rai | Psychiatry & Neurology | 4 Memorial Dr Ste 230, Alton, IL 62002-6751 | 2006-05-28 |
| 1851402721 | Michael Xiaozhong Liu | Psychiatry & Neurology | 4 Memorial Dr Ste 230, Alton, IL 62002-6751 | 2006-08-31 |
| 1467469007 | Illinois Institute of Neurology Ltd | Psychiatry & Neurology | 2 Memorial Dr, Suite 201, Alton, IL 62002-6723 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ARBHA VONGSVIVUT.
| 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.