SARAH BUSH LINCOLN HEALTH CENTER (NPI# 1699893735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699893735 |
| Entity Type | Organization |
| Organization Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Other Organization Name | OTOLARYNGOLOGY HEAD NECK - EFFINGHAM |
| Practice Address |
904 Medical Park Dr Effingham IL 62401-2193 |
| Mailing Address |
1000 Health Center Dr Mattoon IL 61938-9253 |
| Practice Telephone | 2173477077 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | MR. DENNIS PLUARD (CFO) |
| Authorized Official Telephone | 2172582513 |
| Is Organization Subpart | Y |
| Parent Organization Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Otolaryngology Head Neck - Effingham | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283455 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 1611 Veterans Ave Ste T, Vandalia, IL 62471-3303 | 2020-01-06 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
| 1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
| 1467570507 | Sarah Bush Lincoln Health Center | Family Medicine | 200 Professional Plz, Mattoon, IL 61938-9280 | 2007-03-27 |
| 1386762425 | Sarah Bush Lincoln Health Center | Family Medicine | 104 Courthouse Square, Toledo, IL 62468 | 2007-03-27 |
| 1588782627 | Sarah Bush Lincoln Health Center | Family Medicine | 1005 Health Center Drive, Suite 103, Prairie Pavilion I, Mattoon, IL 61938-4693 | 2007-03-27 |
| 1083732630 | Sarah Bush Lincoln Health Center | Family Medicine | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2007-03-26 |
| 1922190024 | Sarah Bush Lincoln Health Center | Home Health | 1004 Health Center Dr, Suite 202, Mattoon, IL 61938-9253 | 2006-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SARAH BUSH LINCOLN HEALTH CENTER | 1000 Health Center Dr, Mattoon, IL 61938-9253 |
| Street Address |
904 MEDICAL PARK DR |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801499 | David J Bitzer | Urology | 904 Medical Park Dr, Effingham, IL 62401-2193 | 2005-09-13 |
| 1467813022 | Shelby Renea Overbeck | Registered Nurse | 904 Medical Park Dr, Suite 2, Effingham, IL 62401-2193 | 2016-03-10 |
| 1598005993 | Ronna R Hurren | Registered Nurse | 904 Medical Park Dr, Suite 2, Effingham, IL 62401-2193 | 2013-02-21 |
| 1275873689 | Connie L Coatney | Licensed Practical Nurse | 904 Medical Park Dr, Suite 2, Effingham, IL 62401-2193 | 2013-02-21 |
| 1508060252 | Cathy Raddatz | Registered Nurse | 904 Medical Park Dr, Ste 2, Effingham, IL 62401-2193 | 2007-06-14 |
| 1912917188 | Ruben D Boyajian | Surgery | 904 Medical Park Dr, Suite 2, Effingham, IL 62401-2193 | 2006-08-09 |
| 1245290782 | Dva Renal Healthcare Inc | Clinic/Center | 904 Medical Park Dr, Suite 1, Effingham, IL 62401-2193 | 2006-03-27 |
| 1194702092 | Fred Richardson Jr. | Family Medicine | 904 Medical Park Dr, Suite 3, Effingham, IL 62401-2193 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
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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.