MARSHALL BLAKE HAY (NPI# 1780683391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780683391 |
| Entity Type | Individual |
| Full Name | MARSHALL BLAKE HAY |
| Credential | MD |
| Practice Address |
611 W. Park St. Radiology Urbana IL 61801-2530 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173833270 |
| Practice Fax Number | 2173834116 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036130848 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301061520 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104363730 | 05 | |
| MI | CAQH | 11278282 | 01 |
| MI | BC/BS INDIVIDUAL PIN NO | MH061520 | 01 |
| MI | RR MDCR INDIVIDUAL PIN NO | 300128669 | 01 |
| Street Address |
611 W. PARK ST. RADIOLOGY |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204685 | Kaitlynn Geiger | Physical Therapist | 611 W. Park St., Fapc, Urbana, IL 61801 | 2020-04-21 |
| 1134758758 | Ellen R Leskovisek | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2020-04-06 |
| 1568006542 | Whitney R Streitmatter | Dietitian, Registered | 611 W. Park St., Fapc, Urbana, IL 61801 | 2019-11-01 |
| 1174165310 | Brett A Fulks | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-10-09 |
| 1932756194 | Carissa Cole | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-08-22 |
| 1316593221 | Xiaoyu Zhang | Speech-Language Pathologist | 611 W. Park St., Urbana, IL 61801 | 2019-08-15 |
| 1144789264 | Hannah Dignan | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-03-18 |
| 1639644982 | Katrina Osana | Physical Therapist | 611 W. Park St., Urbana, IL 61801 | 2018-10-12 |
| 1033684170 | Kourtney L Steinkamp | Nurse Practitioner | 611 W. Park St., Hvi, Urbana, IL 61801 | 2018-10-04 |
| 1639653538 | Hannah Lake-rayburn | Advanced Practice Midwife | 611 W. Park St., Ob/gyn, Urbana, IL 61801 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154536530 | Steve C Hong | Radiology | 611 West Park Street, Ir, Urbana, IL 61801-2500 | 2007-05-11 |
| 1255366761 | Sundar Vasudevarao Nilavar | Radiology | 96 Lookout Ct, Urbana, OH 43078-9414 | 2006-07-12 |
| 1033103197 | Suzanne M Hand | Radiology | 602 W. University Avenue, Radiology, Urbana, IL 61801 | 2005-09-06 |
| 1679866842 | Devarshi J Desai | Radiology | 611 W Park St, Urbana, IL 61801-2529 | 2011-05-22 |
| 1235441635 | James Hlubocky | Radiology | 611 W Park St, Urbana, IL 61801-2529 | 2010-07-14 |
| 1366769945 | Bimal Vyas | Radiology | 611 W Park St, Urbana, IL 61801-2529 | 2010-04-22 |
| 1417127457 | April L Dickenson | Radiology | 611 W. Park St., Radiology, Urbana, IL 61801 | 2008-03-05 |
| 1740478494 | Sami Sibai | Radiology | 611 W. Park St., Urbana, IL 61801-2500 | 2007-10-09 |
| 1275720955 | Behrang Khoie | Radiology | 611 W. Park St., Radiology, Urbana, IL 61801-2500 | 2007-09-26 |
| 1346430667 | Scott R. Santeler | Radiology | 611 W Park St, Interventional Radiology, Urbana, IL 61801-2529 | 2007-08-01 |
| Find all providers in URBANA | ||||
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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.