DR. WILLIAM K DRAKE (NPI# 1801880976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801880976 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM K DRAKE |
| Credential | MD |
| Practice Address |
400 Caldwell Staunton IL 62088-1173 |
| Mailing Address |
Po Box 415 Highland IL 62249-0415 |
| Practice Telephone | 6186352200 |
| Practice Fax Number | 6186354233 |
| Mailing Telephone | 6188874291 |
| Mailing Fax Number | 6188874293 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
0030360413131 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036041313 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 0006000411 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679780951 | William Alexander Drake | Dentist | 1215 Se Industry Dr., Oxford, NC 27565 | 2007-05-17 |
| 1902922826 | William F. Drake | Dentist | 406 S Washington St, Maryville, TN 37804-5801 | 2007-03-22 |
| 1255389920 | William Baker Drake IIi | Pediatrics | 4150 N Mulberry Dr, Suite 150, Kansas City, MO 64116-1779 | 2006-05-05 |
| 1396235636 | William Edward Drake | Specialist/Technologist | 502 E Boone Ave, Spokane, WA 99258-0066 | 2018-05-11 |
| 1992174320 | William Drake | Contractor | 1217 Grandview Ave, Columbus, OH 43212-3455 | 2015-09-16 |
| 1336150887 | William L Drake Jr. | Dentist | 258 Main St, Brookneal, VA 24528 | 2006-08-10 |
| 1104889641 | William Neil Drake | Family Medicine | 1050 E State Highway 114, Ste 100, Southlake, TX 76092-5253 | 2006-04-07 |
| Street Address |
400 CALDWELL |
| City | STAUNTON |
| State | IL |
| Zip Code | 62088-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609431949 | Amanda Jane Settles | Occupational Therapy Assistant | 215 Heritage Manor-staunton, Staunton, IL 62088 | 2019-05-02 |
| 1891957130 | John Batista Caldieraro IIi | Dentist | 216 W Pennsylvania, Staunton, IL 62088 | 2008-06-27 |
| 1104012129 | Emerald Glen Management | Assisted Living Facility | 18192 Renken Road, Staunton, IL 62088 | 2007-09-24 |
| 1851649388 | South Macoupin Association for Special Education | Local Education Agency (LEA) | 701 N Deneen St, Staunton, IL 62088-1015 | 2012-08-15 |
| 1528401460 | Lisa Ann Scanzoni | Occupational Therapy Assistant | 708 N Deneen St, Staunton, IL 62088-1016 | 2013-04-10 |
| 1780635375 | Staunton School Dist 6 | Local Education Agency (LEA) | 801 N Deneen St, Staunton, IL 62088-1017 | 2006-05-16 |
| 1750881629 | Christina P Lawrence | Speech-Language Pathologist | 801 N Deneen St, Staunton, IL 62088-1017 | 2018-02-17 |
| 1316071731 | Janene Marie Parmentier | Rehabilitation Practitioner | 1043 Wolf Creek Ct, Staunton, IL 62088-1087 | 2007-03-15 |
| 1629069331 | Heritage Manor Staunton LLC | Skilled Nursing Facility | 215 W Pennsylvania St, Staunton, IL 62088-1127 | 2005-11-02 |
| 1538403241 | Heritage Manor - Staunton, LLC | Durable Medical Equipment & Medical Supplies | 215 W Pennsylvania St, Staunton, IL 62088-1127 | 2012-11-19 |
| Find all providers in zip 62088 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1437272549 | Robert E. Merrick | Pathology | 1633 W Berwyn Ave, Chicago, IL 60640-2005 | 2007-04-06 |
| 1740201003 | Apl Clinical Pathology | Pathology | 800 E Carpenter, Springfield, IL 62769-0001 | 2006-07-22 |
| 1235163056 | Renuka Bhaskar | Pathology | 105 Krispy Kreme Dr, Ste 4, Bloomington, IL 61704-3751 | 2006-07-10 |
| 1881625341 | Winfield Laboratory Consultants, S.c. | Pathology | 25 Winfield Rd, Winfield, IL 60190 | 2006-07-05 |
| 1790747517 | Anjen Chenn | Pathology | 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 | 2006-04-05 |
| 1720063217 | Roy M.y. Nomura | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | 2005-12-07 |
| 1265433312 | Prairie Pathology and Laboratory Physicians | Pathology | Virginia At Franklin, Bromenn Regional Medical Center, Normal, IL 61761 | 2005-08-10 |
| 1598111403 | Kyle G Parker | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2016-05-10 |
| 1538515473 | Samuel E Weinberg | Pathology | 251 E Huron St, Chicago, IL 60611-3055 | 2016-05-10 |
| Find all providers with the same taxonomy | ||||
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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.