MR. JOSEPH A SANTIAGO JR. (NPI# 1831185487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831185487 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH A SANTIAGO JR. |
| Credential | M.D. |
| Practice Address |
1414 Woodbine Rd Bloomington IL 61704-2817 |
| Practice Telephone | 3096622273 |
| Practice Fax Number | 3096622014 |
| Mailing Telephone | 3096622273 |
| Mailing Fax Number | 3096622014 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036101512 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036101512 | 05 | |
| RAILROAD MEDICARE | 160049257 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053494336 | Joseph Anthony Santiago | Psychologist | 190 Seigel Rd, Ellenville, NY 12428-5724 | 2006-10-23 |
| 1083174247 | Joseph Anthony Santiago Sr. | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2019-03-23 |
| 1073912473 | Joseph Christian Santiago | Physical Therapist | 886 Magnolia Ave, Suite 100, Corona, CA 92879-3105 | 2014-08-21 |
| 1972884120 | Joseph I Santiago | Physical Therapist | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2011-09-01 |
| 1285667188 | Joseph Patrick Santiago | Family Medicine | 1110 Parker Sq, Flower Mound, TX 75028-7432 | 2006-07-07 |
| 1366413338 | Joseph Santos Santiago | Family Medicine | 2900 Lemay Ferry Rd, Suite 217, Saint Louis, MO 63125-3900 | 2006-01-30 |
| Street Address |
1414 WOODBINE RD |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609986 | Victoria C Voegel | Physician Assistant | 1414 Woodbine Rd, Bloomington, IL 61704-2817 | 2005-09-16 |
| 1831215391 | Urologic Surgery Associates, S.c. | Urology | 1414 Woodbine Rd, Bloomington, IL 61704-2817 | 2007-03-22 |
| 1932292521 | Obstetrics and Gynecology Care Associates, S.c. | Obstetrics & Gynecology | 1414 Woodbine Rd, Bloomington, IL 61704-2817 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174038822 | Daniel A Nord Md, Obstetrics and Gynecology | Obstetrics & Gynecology | 1505 Eastland Dr Ste 230, Bloomington, IL 61701-7906 | 2017-12-04 |
| 1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| 1518237577 | Whole Woman's Health of The Twin Cities | Obstetrics & Gynecology | 8053 E Bloomington Fwy Ste 450, Bloomington, MN 55420-1031 | 2012-01-09 |
| 1639468788 | Premier Medical Group, LLC | Obstetrics & Gynecology | 1505 Eastland Dr Ste 500, Bloomington, IL 61701-7905 | 2011-03-29 |
| 1780916403 | Joseph Ignatius Hamel Sr. | Obstetrics & Gynecology | 8006 Pennsylvania Rd, Bloomington, MN 55438-1135 | 2010-02-04 |
| 1962688895 | Brian William Cook | Obstetrics & Gynecology | 2920 Mcintire Drive, Suite 250, Bloomington, IN 47403 | 2008-01-10 |
| 1982780656 | Wendy K. Corning | Obstetrics & Gynecology | 383 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8574 | 2006-10-27 |
| 1841399540 | Elvia A Greathouse | Obstetrics & Gynecology | 415 W 1st St, Bloomington, IN 47403-2403 | 2006-09-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.