MR. RICHARD P VICENZI (NPI# 1841447026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841447026 |
| Entity Type | Individual |
| Full Name | MR. RICHARD P VICENZI |
| Credential | ATHLETIC TRAINER |
| Practice Address |
510 Lincoln Drive Herrin IL 62948 |
| Practice Telephone | 6189976800 |
| Practice Fax Number | 6189989635 |
| Mailing Telephone | 6189976800 |
| Mailing Fax Number | 6189989635 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 096000258 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
510 LINCOLN DRIVE |
| City | HERRIN |
| State | IL |
| Zip Code | 62948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008754 | Bret Hunter Miller | Orthopaedic Surgery | 510 Lincoln Drive, Herrin, IL 62948-6334 | 2005-07-22 |
| 1659890069 | Nicole L Cheek | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62901 | 2017-09-18 |
| 1578923660 | Kaily Marie Palmer | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62948 | 2016-03-02 |
| 1295998011 | Jeffery M. Jones | Neurological Surgery | 510 Lincoln Drive, Herrin, IL 62948 | 2008-07-02 |
| 1518152404 | Eric Jay Osman | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62948 | 2007-09-13 |
| 1386716884 | Jeremy Dale Palmer | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-11-14 |
| 1154425882 | John B Wood | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1063516797 | James Michael Davis | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1215031943 | Steven D Young | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1780790386 | Angela Marie Arnold | Physician Assistant | 510 Lincoln Drive, Herrin, IL 62948 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139949 | Meryl Swidler | Specialist/Technologist | 44w625 Plato Rd, Burlington, IL 60109-1086 | 2019-11-22 |
| 1083070403 | Katerina Savino | Specialist/Technologist | 3823 N Ashland Ave, Chicago, IL 60613-5828 | 2016-01-14 |
| 1316174493 | David Knight | Specialist/Technologist | 66 Bradford Ln, Mundelein, IL 60060-2073 | 2009-06-16 |
| 1710147046 | Megan Maria Ziomek-feldman | Specialist/Technologist | 8440 Callie Ave, #301, Morton Grove, IL 60053-5011 | 2008-06-10 |
| 1538329842 | Carlos Andres Vazquez | Specialist/Technologist | 10743 S Avenue L, Chicago, IL 60617-6602 | 2008-06-10 |
| 1215118922 | Angela Sorensen | Specialist/Technologist | 616a W 5th Ave # A, Naperville, IL 60563-2902 | 2007-11-21 |
| 1790800043 | Veronica E. Moreno | Specialist/Technologist | 4332 N Elston Ave, Chicago, IL 60641-2144 | 2007-03-19 |
| 1174657605 | Kathryn Ruth Schwerman | Specialist/Technologist | 21290 Sylvan Dr S, Mundelein, IL 60060-9518 | 2007-03-15 |
| 1548318298 | Richa Vohra | Specialist/Technologist | 24039 W Lockport Rd, Plainfield, IL 60544-1832 | 2007-01-08 |
| 1255300117 | Kenneth A. Stiff | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. RICHARD P VICENZI.
| 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.