BELLEVILLE ENDOSCOPY LLC (NPI# 1861861403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861861403 |
| Entity Type | Organization |
| Organization Name | BELLEVILLE ENDOSCOPY LLC |
| Practice Address |
311 West Lincoln St Suite 101 Belleville IL 62220 |
| Mailing Address |
3110west Lincoln St Suite 101 Belleville IL 62220 |
| Practice Telephone | 6182333661 |
| Mailing Telephone | 6182333661 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | DR. MARK S FELDMAN (PRESIDENT) |
| Authorized Official Telephone | 6182333661 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
311 WEST LINCOLN ST SUITE 101 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| 1043263874 | Raymond Glenn Varnum | Pharmacist | 1406 W Main St, Belleville, IL 62220 | 2006-05-19 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1083988380 | Southern Illinois Endoscopy | Internal Medicine | 2810 Frank Scott Parkway, Suite 716, Belleville, IL 62223-6802 | 2012-03-05 |
| 1982852471 | Harry M Friedland, Md Pa | Internal Medicine | 5 Franklin Ave. Ste 307, Belleville, NJ 07109 | 2008-09-09 |
| 1558553024 | Vasantha Pai M.d. P.C. | Internal Medicine | 300 W Lincoln St Ste 302, Belleville, IL 62220-1987 | 2007-08-17 |
| 1861548869 | Robert D Fricke Md | Internal Medicine | 300 W Lincoln St Ste 400, Belleville, IL 62220-1987 | 2007-01-25 |
| 1306921218 | Vasantha P Pai | Internal Medicine | 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223-5007 | 2006-10-26 |
| 1407951478 | Stephen A. Schmidt Md Sc | Internal Medicine | 300 W Lincoln St, Belleville, IL 62220-1987 | 2006-09-14 |
| 1356377816 | Yazan A Abu Qwaider | Internal Medicine | 4600 Memorial Dr Ste 260, Belleville, IL 62226-5363 | 2006-06-24 |
| 1548773294 | Msa Alliance | Internal Medicine | 4600 Memorial Dr Ste 260, Belleville, IL 62226-5363 | 2017-11-15 |
| 1447590328 | Metro East Gastroenterology Ltd. | Internal Medicine | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2013-02-28 |
| 1750576211 | Stephen A Schmidt | Internal Medicine | 300 W Lincoln St, Suite 402, Belleville, IL 62220-1987 | 2007-09-07 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on BELLEVILLE ENDOSCOPY LLC.
| 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.