ANASTACIA MALDONADO (NPI# 1831279744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831279744 |
| Entity Type | Individual |
| Full Name | ANASTACIA MALDONADO |
| Credential | MD |
| Practice Address |
1813 W Kirby Ave Champaign IL 61821-5410 |
| Mailing Address |
611 W Park St Bwpc Urbana IL 61801-2529 |
| Practice Telephone | 2173833131 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036116939 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 0533210001 | 01 |
| Street Address |
1813 W KIRBY AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780615 | The Carle Foundation Hospital | Home Health | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2005-09-19 |
| 1790211589 | Jennifer Laprise | Psychiatry & Neurology | 1813 W Kirby Ave, Carle Champaign On Kirby - Psychiatry, Champaign, IL 61821-5410 | 2017-05-11 |
| 1932635372 | Bienvenu Songo Nzinga | Student in an Organized Health Care Education/Training Program | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2017-05-04 |
| 1790144350 | Judy Webber | Dietitian, Registered | 1813 W Kirby Ave, Ste 120, Champaign, IL 61821-5410 | 2016-02-11 |
| 1689018624 | Muge Dizen | Psychologist | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2013-04-22 |
| 1114240876 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2010-03-10 |
| 1497081145 | Margaret J Johnson | Counselor | 1813 W Kirby Ave, Ste. 120, Champaign, IL 61821-5410 | 2009-10-29 |
| 1689804981 | Mehwish Khan | Internal Medicine | 1813 W Kirby Ave, Ste 120, Champaign, IL 61821-5410 | 2009-07-21 |
| 1205065034 | Maryjean Mccallister | Dietitian, Registered | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2009-07-14 |
| 1124280409 | Owaise Mansuri | Internal Medicine | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255694675 | Heena Aditya Birbal Jain | Internal Medicine | 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 | 2012-06-20 |
| 1447367081 | Alberto Munoz | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-08-23 |
| 1891764643 | Ruth A. Craddock | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988345 | Bashir Holdings | Internal Medicine | 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 | 2020-06-29 |
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1255776860 | Alexander Geevarghese | Internal Medicine | 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 | 2013-05-08 |
| 1285078766 | Sheela Metgud | Internal Medicine | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-04-26 |
| 1043551500 | Nisha Dsilva | Internal Medicine | 10 Martin Ave Ste 140, Naperville, IL 60540 | 2013-03-08 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1699921353 | Anna A. Stanislaus | Internal Medicine | 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 | 2008-08-13 |
| 1811151236 | Pui-wing W. Dy | Internal Medicine | 1458 S Canal St, Chicago, IL 60607-5201 | 2008-07-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANASTACIA MALDONADO.
| 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.