MR. ROBERT F LADOVE (NPI# 1811076052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811076052 |
| Entity Type | Individual |
| Full Name | MR. ROBERT F LADOVE |
| Credential | MD |
| Practice Address |
916 Talon Dr Suite 102 O Fallon IL 62269-1848 |
| Practice Telephone | 6186288211 |
| Practice Fax Number | 6186280883 |
| Mailing Telephone | 6186288211 |
| Mailing Fax Number | 6186280883 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PPO PROV# | 08220357 | 01 |
| Street Address |
916 TALON DR SUITE 102 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135617 | John Steve Vick | Chiropractor | 916 Talon Dr, Ste 102, O Fallon, IL 62269-1848 | 2005-06-22 |
| 1194377325 | Collin Magilligan | Nurse Practitioner | 916 Talon Dr, O Fallon, IL 62269-1848 | 2019-07-09 |
| 1972057420 | Elsa K Raymond | Nurse Practitioner | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2016-08-12 |
| 1225495286 | Kristen Lyn Pitts | Physical Therapist | 916 Talon Dr, O Fallon, IL 62269-1848 | 2016-01-21 |
| 1770949125 | Patricia J Relleke | Nurse Practitioner | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2016-01-14 |
| 1376938225 | Apg Medical Laboratory | Clinical Medical Laboratory | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2015-03-30 |
| 1407279623 | Associated Physicians Group | Chiropractor | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2014-01-23 |
| 1285064329 | Dme Edge LLC | Durable Medical Equipment & Medical Supplies | 916 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2013-11-26 |
| 1881979623 | Maria Louise Cunningham | Physical Medicine & Rehabilitation | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2011-10-12 |
| 1043446008 | Ralph Douglas Spafford | Physician Assistant | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2009-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861481558 | John Frank Anzalone | General Practice | 1055 E Terra Ln, O Fallon, MO 63366-2750 | 2005-10-17 |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
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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.