DR. MICHAEL JAMES PACE (NPI# 1659462414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659462414 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES PACE |
| Credential | M.D. |
| Practice Address |
615 N Promenade St Havana IL 62644-1243 |
| Mailing Address |
14174 Royal Oaks Dr Bloomington IL 61704-6923 |
| Practice Telephone | 3095434431 |
| Practice Fax Number | 3095438556 |
| Mailing Telephone | 3098289768 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians | |
| X | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | D15595 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831289776 | Michael Pace | Chiropractor | 3154 Whitney Ave, Hamden, CT 06518-2321 | 2006-10-13 |
| 1942309000 | Michael B Pace | Local Education Agency (LEA) | 19428 Interstate 45, Spring, TX 77373-2910 | 2006-09-22 |
| 1437154598 | Michael J Pace | Chiropractor | 505 W Ray Rd, Ste 1, Chandler, AZ 85225-7283 | 2005-06-16 |
| 1023437209 | Michael Robert Pace | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 | 2014-04-15 |
| 1851568430 | Michael Kent Pace | Dentist | 4750 Austell Rd, Austell, GA 30106-2004 | 2008-05-13 |
| 1437377538 | Michael Jay Pace Jr. | Emergency Medicine | 1310 S Main St, Grove, OK 74344-5304 | 2007-04-23 |
| 1780716530 | Michael Pace | Rehabilitation Practitioner | 14660 Oxnard St, Van Nuys, CA 91411-3119 | 2007-03-09 |
| 1558416750 | Michael T Pace | Occupational Therapist | 120 W Dublin Dr, Suite 202, Madison, AL 35758-3107 | 2007-01-25 |
| 1356352256 | Michael A Pace | Internal Medicine | 3901 Pine Lake Rd, Suite 220, Lincoln, NE 68516-5497 | 2006-08-10 |
| 1295730240 | Michael T Pace | Family Medicine | 315 W Oak St, Sparta, WI 54656-2150 | 2005-06-16 |
| Street Address |
615 N PROMENADE ST |
| City | HAVANA |
| State | IL |
| Zip Code | 62644-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063478782 | Mason Hospital District | Clinic/Center | 615 N Promenade St, Havana, IL 62644-1243 | 2006-04-21 |
| 1912418799 | Chase Holtman | Nurse Practitioner | 615 N Promenade St, Havana, IL 62644-1243 | 2017-10-19 |
| 1235674946 | Sarah Knake | Registered Nurse | 615 N Promenade St, Havana, IL 62644-1243 | 2017-01-04 |
| 1821472044 | Kathryn Fry | Nurse Practitioner | 615 N Promenade St, Havana, IL 62644-1243 | 2015-07-17 |
| 1790172583 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 615 N Promenade St, Havana, IL 62644-1243 | 2015-04-20 |
| 1033524350 | Kayla R Miller | Internal Medicine | 615 N Promenade St, Havana, IL 62644-1243 | 2014-06-25 |
| 1760811434 | Gail Behrends | Dietitian, Registered | 615 N Promenade St, Havana, IL 62644-1243 | 2013-11-04 |
| 1306180203 | Kristi A White | Occupational Therapist | 615 N Promenade St, Havana, IL 62644-1243 | 2012-11-15 |
| 1528312626 | Mason District Hospital | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1243 | 2012-10-29 |
| 1467702985 | Megan Wilson | Specialist/Technologist | 615 N Promenade St, Havana, IL 62644-1243 | 2012-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771218 | Mason County Health Department | Clinic/Center | 1002 East Laurel Avenue, Havana, IL 62644 | 2006-11-30 |
| 1346206315 | Havana Hco, LLC | Skilled Nursing Facility | 609 N Harpham St, Havana, IL 62644 | 2006-04-26 |
| 1427561489 | Brandi Nicole Behymer | Nurse's Aide | 320 N Plum St, Havana, IL 62644-1127 | 2017-11-13 |
| 1225032071 | R & Q Corporation | Pharmacy | 201 W Main St, Havana, IL 62644-1137 | 2005-06-09 |
| 1639655616 | Home Dialysis Therapies, Inc | Clinic/Center | 216 W Main St, Havana, IL 62644-1138 | 2018-07-12 |
| 1750382990 | Anthony Dale Roberts | Chiropractor | 303 W Main St, Havana, IL 62644-1139 | 2005-08-10 |
| 1962816868 | John Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2014-06-18 |
| 1831469998 | Bleem Family Chiropractic Inc | Chiropractor | 314 W Main St, Havana, IL 62644-1140 | 2012-01-06 |
| 1366751331 | Robert Frank Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2010-09-24 |
| 1265663694 | Pam Herrick Counseling, S.c. | Counselor | 314 W Main St, Suite A, Havana, IL 62644-1140 | 2009-08-03 |
| Find all providers in zip 62644 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
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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.