DR. BRADLEY MICHAEL KUTKA (NPI# 1770894263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770894263 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY MICHAEL KUTKA |
| Credential | M.D. |
| Practice Address |
517 N Main St Anna IL 62906-1668 |
| Mailing Address |
1645 W Ogden Ave Unit #437 Chicago IL 60612-4199 |
| Practice Telephone | 7708746803 |
| Practice Fax Number | 7708746833 |
| Mailing Telephone | 8475330422 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2012-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036131717 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125058174 | IL | Student, Health Care |
| Street Address |
517 N MAIN ST |
| City | ANNA |
| State | IL |
| Zip Code | 62906-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129642 | Anna Home Care Services LLC | Home Health | 517 N Main St, Anna, IL 62906-1668 | 2006-01-20 |
| 1013567734 | Cassy A Coleman | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2019-09-14 |
| 1104300094 | Elizabeth Shallenberger | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2018-09-18 |
| 1477907780 | Anna Hospital Corporation | Family Medicine | 517 N Main St, Anna, IL 62906-1668 | 2016-04-22 |
| 1386064996 | Holly A Wilke | Registered Nurse | 517 N Main St, Anna, IL 62906-1668 | 2014-04-22 |
| 1215378955 | Midwest Neurosurgeons, LLC | Neurological Surgery | 517 N Main St, Anna, IL 62906-1668 | 2013-07-10 |
| 1942645411 | Russell John Kinsey | Physician Assistant | 517 N Main St, Anna, IL 62906-1668 | 2013-05-09 |
| 1437444163 | Everett Lee Shaw | Physician Assistant | 517 N Main St, Anna, IL 62906-1668 | 2011-06-10 |
| 1538347448 | Anna Hospital Corporation | Pharmacy | 517 N Main St, Anna, IL 62906-1668 | 2008-02-01 |
| 1700906021 | Kathy L Schierbaum | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265711600 | Community Integrated Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Jeni Lane, Anna, IL 62906 | 2011-08-16 |
| 1508153768 | Union County Counseling Services Inc | Clinic/Center | 202 South St, Anna, IL 62906 | 2011-07-07 |
| 1326335589 | Union County Counseling Services Inc | Clinic/Center | 302 South St, Anna, IL 62906 | 2011-07-07 |
| 1063709228 | Union County Counseling Services Inc | Community Based Residential Treatment Facility, Mental Illness | 311 W Vienna St, Anna, IL 62906 | 2011-07-07 |
| 1598920928 | Steven Wayne Vincent | Dentist | 131 West Vienna Street, Anna, IL 62906 | 2008-07-24 |
| 1427236900 | Cardinal House Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Douglas Street, Anna, IL 62906 | 2008-02-06 |
| 1992913719 | High Chiropractic Center | Chiropractor | 35 Walton Lane, Anna, IL 62906 | 2007-05-18 |
| 1023235678 | Chuck C. Bugle | Psychologist | 311 W. Spring St., Anna, IL 62906 | 2007-04-18 |
| 1922194604 | Nancy Kay Webb | Physical Therapist | 515 E Vienna Street, Suite I, Anna, IL 62906 | 2006-10-04 |
| 1144242918 | William W Mings | Psychiatry & Neurology | 204 South St, Anna, IL 62906 | 2006-07-24 |
| Find all providers in zip 62906 | ||||
| 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 |
|---|---|---|---|---|
| 1578594651 | Uma Chintapalli | Emergency Medicine | 701 W White St Ste 2b, Anna, TX 75409-4102 | 2006-07-06 |
| 1134211139 | Joel Vercide | Emergency Medicine | 517 N Main St, Anna, IL 62906-1668 | 2006-09-28 |
| 1184645053 | Dale M Vorbrich | Emergency Medicine | 517 N Main St, Anna, IL 62906-1668 | 2006-07-23 |
| 1205874336 | Yates Emergency Physicians | Emergency Medicine | 517 N Main St, Anna, IL 62906-1668 | 2006-06-02 |
| 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.