AVANI CHANGELA (NPI# 1740582246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740582246 |
| Entity Type | Individual |
| Full Name | AVANI CHANGELA |
| Credential | M.D. |
| Practice Address |
4117 Veterans Memorial Dr Mount Vernon IL 62864-6262 |
| Practice Telephone | 6182446500 |
| Practice Fax Number | 6182446422 |
| Mailing Telephone | 6182446500 |
| Mailing Fax Number | 6182446422 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2015-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036.137765 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4117 VETERANS MEMORIAL DR |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912984766 | Yagnesh V. Oza | Internal Medicine | 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2005-12-22 |
| 1407004773 | Kathleen Marie Naegele | Internal Medicine | 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2008-08-28 |
| 1316000219 | Gloria Nicole Abenes | Nurse Practitioner | 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-12-19 |
| 1952477028 | Mt Vernon Radiation Therapy Center | Clinic/Center | 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-11-28 |
| 1053364885 | Oza Oncology Inc. | Radiology | 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-05-19 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497463 | Bruce C Mathey | Internal Medicine | 307 S 13th St Ste 100, Mount Vernon, WA 98274 | 2006-05-24 |
| 1841243060 | Kiarash Kojouri | Internal Medicine | 307 S. 13th Street, Mount Vernon, WA 98274 | 2006-05-18 |
| 1922076173 | Mehrdad Jafari | Internal Medicine | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2006-03-12 |
| 1912984766 | Yagnesh V. Oza | Internal Medicine | 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2005-12-22 |
| 1154533412 | Junfeng Wang | Internal Medicine | 307 S 13th St Ste 100, Mount Vernon, WA 98274 | 2007-05-07 |
| 1124181508 | Rockcastle Ventures Inc. Doing Business As Mt. Vernon Clinic | Internal Medicine | 140 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2006-12-18 |
| 1245299577 | Geetha D Naik | Internal Medicine | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2006-03-23 |
| 1265431233 | Patrick J. Nestor | Internal Medicine | 307 S 13th St Ste 100, Mount Vernon, WA 98274 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| 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.