ROBERT E MESTAN


Address: 535 Park Ave E, Princeton, IL 61356-2537
Phone: 8158754531

ROBERT E MESTAN (NPI# 1659312924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659312924
Entity Type Individual
Full Name ROBERT E MESTAN
Credential MD
Practice Address 535 Park Ave E
Princeton
IL 61356-2537
Mailing Address 530 Park Ave E
Princeton
IL 61356-3901
Practice Telephone 8158754531
Mailing Telephone 8158754531
Mailing Fax Number 8158721535
Enumeration Date 2006-06-09
Last Update Date 2020-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036053231 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD MEDICARE 010033055 01
IL 036053231 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
530 Park Ave E, Princeton, IL 613563901 8158752811

Office Location

Street Address 535 PARK AVE E
City PRINCETON
State IL
Zip Code 61356-2537

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598712218 Manuel R Ascano Sr. Family Medicine 535 Park Ave E, Princeton, IL 61356-2537 2006-05-28
1093379802 Ariel E Swanson Social Worker 535 Park Ave E, Princeton, IL 61356 2019-04-26
1184194813 Abby Ruth Vladika Nurse Practitioner 535 Park Ave E, Princeton, IL 61356-2537 2018-11-26
1588181531 Bianca A Ramiro Nurse Practitioner 535 Park Ave E, Princeton, IL 61356-2537 2017-08-29
1750739900 Shitaldas Jamandas Pamnani Internal Medicine 535 Park Ave E, Princeton, IL 61356 2016-05-28
1578922050 Julia Rackley Perry Memorial Hospital Clinic/Center 535 Park Ave E, Princeton, IL 61356-3901 2016-02-12
1306286950 Christopher Thomas Blanford Family Medicine 535 Park Ave E, Princeton, IL 61356-2537 2013-06-27
1366795049 Carol A Debruhl Nurse Practitioner 535 Park Ave E, Princeton, IL 61356-2537 2012-10-18
1760733992 Karen S Nenne Nurse Practitioner 535 Park Ave E, Princeton, IL 61356-2537 2012-09-27
1447437702 Anna M Freeman Nurse Practitioner 535 Park Ave E, Princeton, IL 61356-2537 2008-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548698558 Shelley Gorenz Counselor 1009 S. Main St., Princeton, IL 61356 2013-10-30
1780016626 Jennifer Phillips Pharmacist 610 N. Main St., Princeton, IL 61356 2013-08-02
1477848521 Princeton Prompt Care LLC Clinic/Center 2128 North Main Street, Princeton, IL 61356 2011-06-16
1306014196 Lifefit Physical Rehab, Ltd. Clinic/Center 1225 N. Sixth St., Princeton, IL 61356 2008-02-14
1568669778 Hawthorne Inn Supportive Living Facility Assisted Living Facility 136 N. Sixth St., Princeton, IL 61356 2007-06-29
1720209240 Michelle Lee Mortensen Music Therapist 816 S. First St., Princeton, IL 61356 2007-05-01
1073733465 Jarred Allen Farrell Chiropractor 682 East Peru Street, Princeton, IL 61356 2007-04-26
1952488397 Donald R Marion Optometrist 2 Park Avenue West, Princeton, IL 61356 2006-11-01
1427138247 Bruce Waldo Shriver Dentist 422 E Peru St, Princeton, IL 61356 2006-10-16
1871689612 Jason A Monroe Dentist 334 Backbone Rd East, Princeton, IL 61356 2006-10-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528612587 Joan M Markison Family Medicine 22 Morven Pl, Princeton, NJ 08540-3024 2019-07-29
1619531142 Christina Sheil Family Medicine 101 Carnegie Ctr Ste 101, Princeton, NJ 08540-6231 2019-04-30
1174874200 Alegis Care - New Jersey PC Family Medicine 103 Carnegie Ctr Ste 308, Princeton, NJ 08540-6235 2012-09-28
1548557341 Nicholas Samuel Muscari Family Medicine 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 2011-06-30
1396041844 The Other Way Family Medicine 923 Cherry Hill Rd, Princeton, NJ 08540-7711 2011-02-01
1699082974 Melissa Ann Hurst Family Medicine 365 Courthouse Rd, Princeton, WV 24740-2431 2010-09-08
1023279197 Mark Leenay Family Medicine 6940 338th Ln Nw, Princeton, MN 55371-5007 2008-06-22
1619135860 Elizabeth Joanne Peterson Family Medicine 911 Northland Dr., Princeton, MN 55371-1737 2008-05-23
1346444106 Brian Zack Family Medicine 14 Hageman Ln, Princeton, NJ 08540-7547 2007-06-13
1952444234 Jana Michelle Peters Family Medicine 365 Courthouse Road, Princeton, WV 24740 2007-02-15
Find all providers in PRINCETON

Competitor

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City PRINCETON
Zip Code 61356

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Dataset Information

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.

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