DR. WENDELL W BECTON (NPI# 1649237504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649237504 |
| Entity Type | Individual |
| Full Name | DR. WENDELL W BECTON |
| Credential | M.D. |
| Practice Address |
1111 Trinity Lane Suite 111 Bloomington IL 61704-3738 |
| Practice Telephone | 3096636461 |
| Practice Fax Number | 3096635711 |
| Mailing Telephone | 3096636461 |
| Mailing Fax Number | 3096635711 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036093050 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036093050 | 05 |
| Street Address |
1111 TRINITY LANE SUITE 111 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633420 | Joseph Kaysing Newcomer | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2005-07-19 |
| 1740567452 | Patricia A Buckley | Physical Therapist | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2011-11-08 |
| 1477881134 | Sarah Michelle Follmer | Physical Therapist | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2009-11-18 |
| 1144474321 | Nicholle Leigh Eisfelder | Occupational Therapist | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2008-11-13 |
| 1174783880 | Lucas Casey Armstrong | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2008-06-16 |
| 1285847939 | Joseph B Norris | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2007-05-08 |
| 1063420248 | Mclean County Orthopedics, Ltd | Physical Medicine & Rehabilitation | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-08-04 |
| 1912915208 | Richard K Bauersfeld | Physical Therapist | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-08-03 |
| 1124036322 | Abby L Curtis | Physical Therapist | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-08-03 |
| 1881601144 | Joseph A Novotny | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-08-01 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649598707 | Rajih Y Haddawi | Family Medicine | 2631 S Atlee St, Bloomington, IN 47401-4536 | 2010-05-12 |
| 1144617366 | Mckayla Schmitt | Family Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2015-04-26 |
| 1336538917 | The Trustees of Indiana University | Family Medicine | 1001 E 17th St, Assembly Hall, Bloomington, IN 47408-1590 | 2015-01-20 |
| 1659684462 | Premier Healthcare, LLC | Family Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2010-07-21 |
| 1184855272 | Ima East Primary Care | Family Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2009-08-06 |
| 1285890764 | Heather J Dukes Rosales | Family Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2008-08-04 |
| 1235396045 | Ryan Niehaus | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-05-20 |
| 1922017623 | Shane Michael Gustafson | Family Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2006-08-05 |
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| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
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| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.