DR. VICKEN S CHALIAN (NPI# 1871529594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871529594 |
| Entity Type | Individual |
| Full Name | DR. VICKEN S CHALIAN |
| Credential | M.D. |
| Practice Address |
1401 Eastland Dr Suite B Bloomington IL 61701-3514 |
| Practice Telephone | 3096639424 |
| Practice Fax Number | 3096636350 |
| Mailing Telephone | 3096639424 |
| Mailing Fax Number | 3096636350 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DME PROVIDER NUMBER | 0723870001 | 01 |
| IL | BC BS PROVIDER NUMBER | 5732045 | 01 |
| Street Address |
1401 EASTLAND DR SUITE B |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619953486 | Sven Klauss | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2005-12-22 |
| 1225476377 | Rachel Emily Immen | Family Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3552 | 2013-06-11 |
| 1497025548 | Medical Hills Internists,llc | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2012-01-06 |
| 1861778870 | Sabrina N Mearida | Physical Therapist | 1401 Eastland Dr, Suite C, Bloomington, IL 61701-3514 | 2011-10-24 |
| 1790070837 | Andre Francois | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3552 | 2011-06-16 |
| 1396946125 | Lilla Gyires Berck | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2007-05-30 |
| 1376641217 | Jeffrey C Hoschek | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2006-09-21 |
| 1770592487 | Danielle F Kim | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2006-08-05 |
| 1043248867 | Benjamin J Leak | Urology | 1401 Eastland Dr, Suite B, Bloomington, IL 61701-3514 | 2006-06-29 |
| 1770511594 | Thomas B Kulb | Urology | 1401 Eastland Dr, Suite B, Bloomington, IL 61701-3514 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427357227 | Premier Medical Group, LLC | Urology | 1401 Eastland Dr Ste B, Bloomington, IL 61701-3514 | 2011-03-18 |
| 1710112271 | Michael Andrew Surian | Urology | 880 Woodcrest Drive, Bloomington, IN 47401 | 2009-05-27 |
| 1083608335 | Timothy A Habbe | Urology | 2907 Mcintyre Dr, Bloomington, IN 47403-4209 | 2005-09-01 |
| 1659379535 | Warren L Gray | Urology | 2907 Mcintyre Dr., Bloomington, IN 47403-4224 | 2005-07-13 |
| 1467450767 | Brian J Logue | Urology | 2907 S Mcintire Dr, Bloomington, IN 47403-4224 | 2005-07-11 |
| 1578940151 | Ashley Shumate | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2015-05-02 |
| 1790075596 | Amanda Jean Pettibone-pond | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2011-04-13 |
| 1548427123 | Paula J Bunde | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2008-05-21 |
| 1831215391 | Urologic Surgery Associates, S.c. | Urology | 1414 Woodbine Rd, Bloomington, IL 61704-2817 | 2007-03-22 |
| 1003912726 | Dean L Lenz | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2006-09-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.