KYLE D KAKAC


Address: 303 Nw 11th St, Fairfield, IL 62837-1203
Phone: 6188422611

KYLE D KAKAC (NPI# 1831297761) 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) 1831297761
Entity Type Individual
Full Name KYLE D KAKAC
Credential MD
Practice Address 303 Nw 11th St
Fairfield
IL 62837-1203
Practice Telephone 6188422611
Practice Fax Number 6188478386
Mailing Telephone 6188478260
Mailing Fax Number 6188478387
Enumeration Date 2006-09-21
Last Update Date 2016-02-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 036-116009 IL Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 01057262 IN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 41240 TN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 036116009 IL Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist 036116009 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200522020 05
TN 1534607 05
IL 036116009-4 05
IL BLUE SHIELD 3932056 01

Office Location

Street Address 303 NW 11TH ST
City FAIRFIELD
State IL
Zip Code 62837-1203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518910330 Christopher D Beehn Physical Therapist 303 Nw 11th St, Fairfield, IL 62837-1203 2006-05-19
1093345167 Dana Shantel Taylor Social Worker 303 Nw 11th St, Fairfield, IL 62837-1206 2020-01-17
1962983338 Sherrill Kay Funkhouser Physician Assistant 303 Nw 11th St, Fairfield, IL 62837-1203 2018-08-23
1124494174 Mary Lou Mcculley Health Educator 303 Nw 11th St, Fairfield, IL 62837-1203 2015-08-13
1548657158 Dylan Wayne Stennett Nurse Practitioner 303 Nw 11th St, Fairfield, IL 62837-1203 2015-04-21
1063802916 Whitney Elaine Buckles Dietitian, Registered 303 Nw 11th St, Fairfield, IL 62837-1203 2015-01-30
1649442419 Fairfield Memorial Hospital Association Family Medicine 303 Nw 11th St, Fairfield, IL 62837-1203 2008-04-01
1295920387 Total Renal Care Inc Clinic/Center 303 Nw 11th St, Ste 1, Fairfield, IL 62837-1203 2007-09-11
1790982650 April Joy Best Speech-Language Pathologist 303 Nw 11th St, Fairfield, IL 62837-1203 2007-07-02
1558418111 Fairfield Memorial Hospital Pharmacy 303 Nw 11th St, Fairfield, IL 62837-1203 2007-01-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881294619 Katelyn Atteberry Pharmacist 150 Commerce Drive, Fairfield, IL 62837 2020-10-30
1265894521 Rebecca August Social Worker 506 Nw 9th St, Fairfield, IL 62837 2016-03-25
1063814259 Kathie L Hill Social Worker 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 2014-09-19
1912206731 Way-fair Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 305 Northwest 11th Street, Fairfield, IL 62837 2011-03-18
1063600773 Alvin Ewing Counselor 407 N. Basin Road, Fairfield, IL 62837 2007-10-09
1417145129 Gilbert Tennyson Counselor 407 North Basin Rd, Fairfield, IL 62837 2007-10-09
1972791689 Clint Harvey Counselor 407 North Basin Road, Fairfield, IL 62837 2007-10-09
1770789778 Fairfield Estates, LLC Point of Service 315 North Market Street, Fairfield, IL 62837 2007-06-26
1346382207 Robert E Lowry Counselor 407 N Basin Rd., Fairfield, IL 62837 2007-02-13
1790840825 Bradley D Kramer Dentist 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 2006-12-27
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174598932 Pranay Bahuguna Hospitalist 3165 Cherry Valley Circle, Fairfield, CA 94534 2006-02-22
1427495563 Allan S Au Hospitalist 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 2013-05-30
1932544061 Benjamin Leo Liu Hospitalist 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 2013-05-02
1114269222 Bhumit Patel Hospitalist 3000 Mack Rd, Fairfield, OH 45014-5335 2013-03-27
1093078974 Dhp Anesthesia Medical Group Inc Hospitalist 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 2012-06-16
1962664441 Sound Inpatient Physicians Medical Group Inc Hospitalist 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 2008-06-26
1306021209 Freestone Physician Services Pa Hospitalist 125 Newman St, Fairfield, TX 75840-1419 2008-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902397078 Rebecca Abraham Hospitalist 5145 N California Ave Ofc M331, Chicago, IL 60625 2018-05-24
1780128231 A.m. Healthcare Inc Hospitalist 17 E 22nd Pl, Sterling, IL 61081-1263 2016-12-16
1265989875 Advance Inpatient Medicine LLC Hospitalist 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 2016-09-01
1164888939 Inpatient Consultants of Illinois, P.C. Hospitalist 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 2016-01-11
1437544764 Victoria Grace Behrend Hospitalist 259 East Erie St, Chicago, IL 60611 2015-04-02
1881088995 Raksha Nepal Hospitalist 4440w 95th St, Oak Lawn, IL 60453-2600 2015-03-26
1639562267 Alexandra Steverson Hospitalist 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 2015-03-06
1710398474 Andrew Shabila Hospitalist 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 2014-05-15
1124463401 Forte Hospitalist Services, LLC Hospitalist 2250 N. Illinois Ave., Carbondale, IL 62901 2013-05-01
1255774527 Ketevan Gvalia Hospitalist 170 W Polk St Apt 1007, Chicago, IL 60605 2013-04-16
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Competitor

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City FAIRFIELD
Zip Code 62837

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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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