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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200522020 | 05 | |
TN | 1534607 | 05 | |
IL | 036116009-4 | 05 | |
IL | BLUE SHIELD | 3932056 | 01 |
Street Address |
303 NW 11TH ST |
City | FAIRFIELD |
State | IL |
Zip Code | 62837-1203 |
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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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 |
Find all providers in zip 62837 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
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. |
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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 |
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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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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.