DR. MARYAM QURESHI (NPI# 1639381817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639381817 |
| Entity Type | Individual |
| Full Name | DR. MARYAM QURESHI |
| Credential | M.D. |
| Practice Address |
241 W Weaver Rd Suite 145d Forsyth IL 62535-9762 |
| Mailing Address |
2300 N Edward St Gsbll Decatur IL 62526-4163 |
| Practice Telephone | 2178765250 |
| Practice Fax Number | 2178765255 |
| Mailing Telephone | 2178762857 |
| Mailing Fax Number | 2178762874 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 125-051850 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689160533 | Maryam Riaz Qureshi | Dentist | 2316 W Madison St, Chicago, IL 60612-2228 | 2018-07-03 |
| Street Address |
241 W WEAVER RD SUITE 145D |
| City | FORSYTH |
| State | IL |
| Zip Code | 62535-9762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154388791 | Anthony T Mccormack | Family Medicine | 241 W Weaver Rd, Suite 240, Forsyth, IL 62535-9762 | 2006-04-27 |
| 1437553906 | Kari R Lewis | Physician Assistant | 241 W Weaver Rd, Suite 145b, Forsyth, IL 62535-9762 | 2014-10-13 |
| 1750651154 | Miriam E Troutner | Dietitian, Registered | 241 W Weaver Rd, Forsyth, IL 62535-9762 | 2012-01-03 |
| 1528375482 | Shanell R Schulz | Dietitian, Registered | 241 W Weaver Rd, Suite 210, Forsyth, IL 62535-9762 | 2010-09-13 |
| 1114234085 | Brittney L Moutray | Dietitian, Registered | 241 W Weaver Rd, Suite 210, Forsyth, IL 62535 | 2010-09-13 |
| 1194956169 | Megan A Shelton | Nurse Practitioner | 241 W Weaver Rd, Suite 145a, Forsyth, IL 62535-9762 | 2009-08-07 |
| 1538221858 | Marilee Dalton Peters | Nurse Practitioner | 241 W Weaver Rd, Suite 240, Forsyth, IL 62535-9762 | 2006-12-14 |
| 1326109992 | Nicole Dalton | Physician Assistant | 241 W Weaver Rd, Suite 145b, Forsyth, IL 62535-9762 | 2006-12-13 |
| 1639230360 | Patricia Miller | Nurse Practitioner | 241 W Weaver Rd, Suite 240, Forsyth, IL 62535-9762 | 2006-12-13 |
| 1457412124 | Jane Piraino | Nurse Practitioner | 241 W Weaver Rd, Suite 240, Forsyth, IL 62535-9762 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265787998 | Anisha Jacob | Optometrist | 106 East Barnett Ave, Forsyth, IL 62535 | 2012-07-18 |
| 1376821017 | Aashay Shah | Optometrist | 106 E Barnett Ave, Forsyth, IL 62535 | 2011-07-29 |
| 1730490616 | Travis R. Jameson | Internal Medicine | 241 West Weaver Rd, Suite 210, Forsyth, IL 62535 | 2010-06-25 |
| 1285869131 | Eyemart Express, Ltd | Durable Medical Equipment & Medical Supplies | 849 Us Hwy 51 South, Suite B, Forsyth, IL 62535 | 2009-05-21 |
| 1629246509 | Healthy Soles Inc | Homeopath | 332 W Marion, Suite 2, Forsyth, IL 62535 | 2008-02-13 |
| 1861503864 | David Nickolas Weis | Psychologist | 133 E Cox St, Forsyth, IL 62535 | 2006-08-31 |
| 1811486350 | Stephanie Sueann Stivers | Nurse Practitioner | 845 S Route 51, Forsyth, IL 62535 | 2018-05-09 |
| 1841799848 | Casey Christopher Vercruysse | Physician Assistant | 845 S Route 51, Forsyth, IL 62535 | 2018-02-05 |
| 1699752329 | Barbara M Bolin | Counselor | 332 W Marion Ave, Suite 4, Forsyth, IL 62535-1018 | 2005-12-23 |
| 1144834235 | Oak Counseling Pllc | Counselor | 332 W Marion Ave, Forsyth, IL 62535-1018 | 2020-09-04 |
| Find all providers in zip 62535 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134438021 | Reed Click, Md, LLC | Family Medicine | 15449 Us Highway 160, Forsyth, MO 65653-8150 | 2010-09-27 |
| 1619136959 | Joel Robert Fountain Jr. | Family Medicine | 411 Taylor Dr, Forsyth, GA 31029-8505 | 2008-06-02 |
| 1043483001 | Laurie Elizabeth Cochran | Family Medicine | 120 N Lee St Ste A, Forsyth, GA 31029-2122 | 2008-04-10 |
| 1114943735 | The Doctor's Office, LLC | Family Medicine | 90 Martin Luther King Jr Dr Ste A, Forsyth, GA 31029-1695 | 2006-07-15 |
| 1861423683 | Skaggs Community Hospital Association | Family Medicine | 13852 W. Us Hwy 60, Forsyth, MO 65653 | 2006-07-06 |
| 1154388791 | Anthony T Mccormack | Family Medicine | 241 W Weaver Rd, Suite 240, Forsyth, IL 62535-9762 | 2006-04-27 |
| 1831168905 | Patton P Smith | Family Medicine | 90-a Martin Luther King Jr Drive, Forsyth, GA 31029 | 2006-03-14 |
| 1255308557 | William Stephen Taunton Sr. | Family Medicine | 120 N Lee St, Suite A, Forsyth, GA 31029-2122 | 2006-03-06 |
| 1730484353 | Central Georgia Family Medicine, LLC | Family Medicine | 90 Martin Luther King Jr Dr Ste A, Forsyth, GA 31029-1695 | 2011-01-12 |
| 1285811687 | Frdaniel Britt Boyd | Family Medicine | 88 Martin Luther King Jr Dr, Forsyth, GA 31029-1682 | 2008-01-28 |
| Find all providers in FORSYTH | ||||
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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.