CARLINVILLE MEDICAL CLINIC, INC. (NPI# 1730213026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730213026 |
| Entity Type | Organization |
| Organization Name | CARLINVILLE MEDICAL CLINIC, INC. |
| Practice Address |
604 N. Broad Carlinville IL 62626 |
| Practice Telephone | 2178549411 |
| Practice Fax Number | 2178542858 |
| Mailing Telephone | 2178549411 |
| Mailing Fax Number | 2178542858 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MARGIE BUSBY (OFFICE MANAGER) |
| Authorized Official Telephone | 2178549411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209000907 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 036057724 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036057724 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518285295 | Carlinville Medical Clinic, Inc. | Internal Medicine | 604 N Broad St, Carlinville, IL 62626-1021 | 2010-05-05 |
| Street Address |
604 N. BROAD |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1720155906 | Rodney Lee Bailey | Dentist | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC | Dentist | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center | Clinic/Center | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| 1669574562 | John A Lapp | Optometrist | 300 North Broad, Carlinville, IL 62626 | 2006-09-01 |
| Find all providers in zip 62626 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154469609 | Lydia S Q Villafuerte Md | Family Medicine | 205 Oakland Ave, Carlinville, IL 62626-1921 | 2007-02-04 |
| 1932165537 | Lourdes M Cruz | Family Medicine | 20613 N Broad St, Suite B, Carlinville, IL 62626-3717 | 2006-04-22 |
| 1598762262 | Kamal K Chopra | Family Medicine | 604 N Broad St, Carlinville, IL 62626-1021 | 2005-07-07 |
| 1477735397 | Kate Marie Wilkens | Family Medicine | 1115 Morgan St, Suite 2, Carlinville, IL 62626-1430 | 2007-12-03 |
| 1649460510 | Macoupin Family Practice Centers, LLP | Family Medicine | 910 W Main St, Carlinville, IL 62626-1200 | 2007-07-27 |
| 1538369277 | Macoupin Family Practice Centers, LLP | Family Medicine | 910 W Main St, Carlinville, IL 62626-1200 | 2007-07-20 |
| 1841325537 | Illini Medical Associates Sc | Family Medicine | 103 Mccausland St, Carlinville, IL 62626-9133 | 2007-02-22 |
| 1992803985 | August Glenn Adams | Family Medicine | 20613 N Broad St, Suite B, Carlinville, IL 62626-3717 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | CARLINVILLE |
| Zip Code | 62626 |
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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.