SYCAMORE MEDICAL ASSOCIATES LLC (NPI# 1770916777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770916777 |
| Entity Type | Organization |
| Organization Name | SYCAMORE MEDICAL ASSOCIATES LLC |
| Practice Address |
2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 |
| Practice Telephone | 8157483040 |
| Practice Fax Number | 8157483070 |
| Mailing Telephone | 8157483040 |
| Mailing Fax Number | 8157483070 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | JAMISON D ALLEN (CO-OWNER) |
| Authorized Official Telephone | 8157483040 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036103130 | IL | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 085004109 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 036098973 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2560 HAUSER ROSS DR SUITE 450 |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614760 | Jamison D Allen | Family Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2005-10-25 |
| 1629439815 | Julie Caley | Nurse Practitioner | 2560 Hauser Ross Dr, Sycamore, IL 60178-3150 | 2016-03-15 |
| 1962724864 | Gateway Physical Therapy, LLC | Physical Therapist | 2560 Hauser Ross Dr, Suite 400, Sycamore, IL 60178-3150 | 2010-02-18 |
| 1992941124 | Tina Starkweather Dpm & Assocaites, PC | Podiatrist | 2560 Hauser Ross Dr, Suite 400, Sycamore, IL 60178-3150 | 2008-12-17 |
| 1821270752 | Amy J Schroeder-whipp | Podiatrist | 2560 Hauser Ross Dr, Suite 400, Sycamore, IL 60178-3150 | 2007-12-03 |
| 1609821008 | Shah Medical Associates LLC | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2006-05-23 |
| 1659326049 | Jamison Allen Do LLC | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2006-05-23 |
| 1215986849 | George Gonnella Do LLC | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2006-05-10 |
| 1588631378 | Asad Shah | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| 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 |
|---|---|---|---|---|
| 1194773499 | Timothy J Ruetten | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-05-05 |
| 1902883325 | Norman Scott Cisar | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2005-12-28 |
| 1063496875 | William Baxter | Family Medicine | 920 W Prairie Dr, Suite J, Sycamore, IL 60178-3123 | 2005-12-05 |
| 1184614760 | Jamison D Allen | Family Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2005-10-25 |
| 1023018322 | Asra F Khan | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2005-07-28 |
| 1275033011 | Wyandot Memorial Hospital | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2018-02-19 |
| 1053827303 | Wyandot Memorial Hospital | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2017-12-22 |
| 1912347329 | Sarina G Jeswani | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2013-06-29 |
| 1578793816 | Center for Family Health | Family Medicine | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2009-07-21 |
| 1043486954 | Chunliu Zhu | Family Medicine | 1850 Gateway Dr Ste 100, Sycamore, IL 60178-3192 | 2008-05-01 |
| Find all providers in SYCAMORE | ||||
Please comment or provide details below to improve the information on SYCAMORE MEDICAL ASSOCIATES LLC.
| 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.