MARCI L WELL


Address: 180 S Main St, Canton, IL 61520-2608
Phone: 3096470201

MARCI L WELL (NPI# 1821107699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821107699
Entity Type Individual
Full Name MARCI L WELL
Credential MD
Practice Address 180 S Main St
Canton
IL 61520-2608
Practice Telephone 3096470201
Practice Fax Number 3096496880
Mailing Telephone 3096470201
Mailing Fax Number 3096495101
Enumeration Date 2006-08-29
Last Update Date 2016-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 036100137 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL IMWA 0062839 01
IL NPI CLINIC NUMBER 1942315197 01
IL HEALTH ALLIANCE 049801 01
IL OSF HEALTHPLANS 100137 01
IL HEALTH LINK 417678 01
IL RR MEDICARE GROUP# CG5172 01
IL JOHN DEERE IL0128 01
IL BCBS 02922981 01
IL 036100137 05
IL RR MEDICARE PIN 370016768 01
IL BLACK LUNG 200397 01

Office Location

Street Address 180 S MAIN ST
City CANTON
State IL
Zip Code 61520-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891794004 Brent D Parry Podiatrist 180 S Main St, Canton, IL 61520-2608 2005-07-19
1316597644 Graham Hospital Association General Acute Care Hospital 180 S Main St, Canton, IL 61520-2608 2019-09-18
1063976058 Jessica Lynn Bugos Nurse Practitioner 180 S Main St, Canton, IL 61520-2608 2019-01-24
1366911497 Rebekah Ridgeway Nurse Practitioner 180 S Main St, Canton, IL 61520-2608 2018-11-19
1851891071 Lacey N Mcmahill Nurse Practitioner 180 S Main St, Canton, IL 61520-2608 2018-02-14
1205335510 Cody J. Gibbs Nurse Practitioner 180 S Main St, Canton, IL 61520-2608 2018-02-02
1699204750 Breann Shalene Farr Nurse Practitioner 180 S Main St, Canton, IL 61520-2608 2017-06-12
1609305390 Karen Hahn Social Worker 180 S Main St, Canton, IL 61520-2608 2017-06-07
1346693504 Kyle Mccarthy Nurse Practitioner 180 S Main St, Canton, IL 61520-2608 2016-07-22
1407201940 Alyssa Crawford Obstetrics & Gynecology 180 S Main St, Canton, IL 61520-2608 2016-05-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497978480 Walton Cs-xi P.C. Chiropractor 410 E. Elm Street, Canton, IL 61520 2007-04-10
1811912918 Jennifer Christine Daniel-price Chiropractor 410 E Elm Street, Canton, IL 61520 2006-07-12
1245216241 Fulton County Health Department Clinic/Center 700 East Oak Street, Canton, IL 61520 2005-12-21
1124482252 Ryan Deushane Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520 2016-04-05
1750749826 Shawn Michael Wynn Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520 2016-02-04
1417312232 Danielle Marianna Sausaman Dietitian, Registered 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 2015-12-21
1740533835 Abby L. Sherwood Chiropractor 410 E Elm Street, Canton, IL 61520 2012-10-26
1619375532 Brittany Nicole Miller Nurse Practitioner 1300 E Locust St, Canton, IL 61520-0008 2014-12-09
1437197845 Heartland of Canton Il LLC Clinic/Center 2081 N Main St, Canton, IL 61520-1032 2006-06-04
1568063428 Mary J Eberle Pharmacist 2071 N Main St, Canton, IL 61520-1032 2020-11-05
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801264098 Dhanalakshmi Senniappan Pediatrics Henry Ford Canton Medical Center, 6100 N Haggerty Rd, Canton, MI 48187-2169 2015-09-04
1215294350 Christina Lynn Hernandez Pediatrics 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 2012-04-13
1194037150 Pediatric Center of Canton, LLC Pediatrics 1445 Harrison Ave. Nw, Suite 300 & 306, Canton, OH 44708 2010-07-07
1194046318 Megan Ann Olson Pediatrics 1051 North Canton Rd, Canton, MI 48187-5097 2010-06-22
1992026140 Jordan H Weitzner Pediatrics 2020 Cumming Hwy Ste 102, Canton, GA 30115-8071 2010-06-22
1639407679 Augusto Rafael Martinez Pediatrics 1208 Davenport Ave, Canton, MA 02021-1012 2009-12-03
1295989002 E. A. Malacaman M. D. LLC Pediatrics 3120 Parkway St Nw Ste C, Canton, OH 44708 2008-11-06
1922261106 Jonathan A. Cheek, M.d. Pediatrics 134 Riverstone Ter, Suite 103, Canton, GA 30114-1706 2008-07-08
1598923294 Hayley Griffin Teich Pediatrics 49650 Cherry Hill Rd Suite 210, Canton, MI 48187-1920 2008-05-29
1699832519 G A Carmichael Family Health Center Inc Pediatrics 644 Finney Road, Canton, MS 39046 2007-01-02
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 61520

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Dataset Information

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.

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