DR. GLEN N FEATHER (NPI# 1962492900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962492900 |
| Entity Type | Individual |
| Full Name | DR. GLEN N FEATHER |
| Credential | DO |
| Practice Address |
180 S Main St Canton IL 61520-2608 |
| Mailing Address |
2907 W Wardcliffe Dr Peoria IL 61604-2157 |
| Practice Telephone | 3096470201 |
| Practice Fax Number | 3096496880 |
| Mailing Telephone | 3094041914 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036079920 | IL | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036079920 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036079920 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1024 N Magnolia St, Elmwood, IL 615299602 | 3097426334 | 3096496880 |
| Street Address |
180 S MAIN ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794004 | Brent D Parry | Podiatrist | 180 S Main St, Canton, IL 61520-2608 | 2005-07-19 |
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1063976058 | Jessica Lynn Bugos | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2019-01-24 |
| 1366911497 | Rebekah Ridgeway | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-11-19 |
| 1851891071 | Lacey N Mcmahill | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-14 |
| 1205335510 | Cody J. Gibbs | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-02 |
| 1699204750 | Breann Shalene Farr | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2017-06-12 |
| 1609305390 | Karen Hahn | Social Worker | 180 S Main St, Canton, IL 61520-2608 | 2017-06-07 |
| 1346693504 | Kyle Mccarthy | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2016-07-22 |
| 1407201940 | Alyssa Crawford | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520-2608 | 2016-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| 1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
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| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252861 | Barry Neil Straus | Anesthesiology | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2005-08-15 |
| 1679929699 | Prizm Anesthesia Associates Pllc | Anesthesiology | 6200 N Haggerty Rd, Canton, MI 48187-3605 | 2016-05-09 |
| 1679575005 | Efrim Cassius Moore | Anesthesiology | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2005-08-15 |
| 1053313437 | Murugiah R Mani | Anesthesiology | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | Anesthesiology | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 |
| 1215552880 | Babu Prasad, Md | Anesthesiology | 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 | 2020-06-10 |
| 1093330516 | Modern Pain Consultants | Anesthesiology | 1802 N Division St Ste 605, Morris, IL 60450-3133 | 2020-06-10 |
| 1255956777 | Modern Pain Consultants | Anesthesiology | 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 | 2020-06-10 |
| 1144844036 | Interventional Pain Medicine of Chicago Sc | Anesthesiology | 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 | 2020-06-05 |
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1538719778 | Cpc Surgical Suite LLC | Anesthesiology | 555 W Court St Ste 100, Kankakee, IL 60901-3673 | 2019-09-19 |
| 1659854008 | Rich Noren LLC | Anesthesiology | 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 | 2018-09-12 |
| 1003336470 | Vertex Anesthesia LLC | Anesthesiology | 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 | 2017-06-26 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
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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.