DR. LOUIS CLARENCE REMYNSE III (NPI# 1649280793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649280793 |
| Entity Type | Individual |
| Full Name | DR. LOUIS CLARENCE REMYNSE III |
| Credential | M.D. |
| Practice Address |
2 Good Samaritan Way Ste 420 Mount Vernon IL 62864-2478 |
| Mailing Address |
Po Box 955860 Saint Louis MO 63195-9359 |
| Practice Telephone | 6188994000 |
| Mailing Telephone | 6364985944 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 080172 | GA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 042.0012584 | VT | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 4301055819 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1021499 | 05 | |
| IL | LICENSE | 036150216 | 01 |
| VT | CVMC-MEDICAID | OVN3891 | 01 |
| VT | CVMC-MEDICARE | VN3891 | 01 |
| MI | 2750986 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4441 Capital Ave Sw, Battle Creek, MI 490159359 | 2697886888 | 2697886889 |
| 2922 North Oak Street, Valdosta, GA 316021885 | 2293162990 | 2292599547 |
| Street Address |
2 GOOD SAMARITAN WAY STE 420 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268521 | Gregory Szych | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-03-09 |
| 1295192805 | Tamara Copeland | Nurse Practitioner | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2016-01-27 |
| 1215311683 | Chandra Kanth Chaturvedula | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2015-07-16 |
| 1144649856 | Tyler Wishau | Podiatrist | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2014-04-09 |
| 1194022541 | Faizan Ali Khan | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2011-02-22 |
| 1689810855 | Marc Louis Sabatino | Physical Medicine & Rehabilitation | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2008-12-18 |
| 1396919544 | Naga Srinivas Sirikonda | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2008-04-18 |
| 1437210341 | Richard Chernecky | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-12-13 |
| 1841239316 | Michelle Burwell | Physician Assistant | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750631891 | Marc Janis Md Pllc | Urology | 150 Stevens Ave, Suite 109, Mount Vernon, NY 10550-2596 | 2012-09-17 |
| 1578755211 | Cooper Urology, Inc. Ps | Urology | 1611 Buck Way, Mount Vernon, WA 98273-2596 | 2007-08-16 |
| 1104842103 | Laurence M. Lee | Urology | 1311 E. Division Street, Mount Vernon, WA 98274 | 2006-07-14 |
| 1407841562 | Northwest Urology Clinic Inc | Urology | 1311 E Division St, Mount Vernon, WA 98274-4134 | 2005-09-14 |
| 1881699908 | David R Knowles | Urology | 4109 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2005-06-15 |
| 1447778642 | Adit Shah | Urology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2017-09-07 |
| 1457693244 | Richard Von Ho | Urology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2013-03-20 |
| 1104085588 | Commonweath Urology Psc | Urology | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2008-06-02 |
| 1003937947 | Sandra Jane Hadjinian | Urology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2007-04-02 |
| 1720166812 | Eugene Kee Hong | Urology | 1400 E. Kincaid Street, Skagit Regional Clinics-urology, Mount Vernon, WA 98274 | 2006-11-02 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.