AMBER MARIE HATHCOCK (NPI# 1962794123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962794123 |
| Entity Type | Individual |
| Full Name | AMBER MARIE HATHCOCK |
| Credential | M.D., M.P.H. |
| Practice Address |
1740 W Taylor St Chicago IL 60612 |
| Mailing Address |
1740 W Taylor St Chicago IL 60612-7232 |
| Practice Telephone | 3129967296 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
P9871 | TX | Allopathic & Osteopathic Physicians |
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
036.146295 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1740 W TAYLOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450882 | Nestor S Cuasay | Radiology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2005-07-09 |
| 1255941589 | Tariq Yousef Mohammad Alyamani | Internal Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-08-02 |
| 1043828601 | Alexandra Leora Millman | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-07-20 |
| 1457974818 | Marian Shehata | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-20 |
| 1033731773 | Parisa Hassanzadeh | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-16 |
| 1922620939 | Mohammad El-saied | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1205458213 | Michal Gorski | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1710509773 | Jaspreet Bahia | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1184246191 | Sean Carter Tompkins | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1548882442 | Zaid Adel Zayyad | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043673056 | Sonya Alitzia Kheshti | Emergency Medicine | 5841 S Maryland Ave # Mc0810, Chicago, IL 60637-1443 | 2016-03-29 |
| 1477933042 | Anna Louise Rodenbough | Emergency Medicine | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637 | 2015-06-08 |
| 1871908723 | Gabriel Anzueto | Emergency Medicine | 5841 S Maryland Ave, M/c 8016, Chicago, IL 60637 | 2014-06-29 |
| 1083053896 | Vincent Anthony Dimaggio | Emergency Medicine | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637 | 2013-06-14 |
| 1891132049 | Colleen D Fant | Emergency Medicine | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2013-05-29 |
| 1801158894 | Anat Brinkman | Emergency Medicine | 225 E Chicago Ave # 62, Chicago, IL 60611 | 2012-06-14 |
| 1275894602 | Caroline Strafford Hesko | Emergency Medicine | 5841 S Maryland Ave, Mc 4060, Chicago, IL 60637 | 2012-06-01 |
| 1144476516 | Seema Awatramani | Emergency Medicine | 808 S Wood St, Chicago, IL 60612-7300 | 2008-08-17 |
| 1336328145 | Erin Marie Augustine | Emergency Medicine | 225 E Chicago Ave # 62, Chicago, IL 60611-2991 | 2007-10-29 |
| 1952422719 | Michelle Lea Macy | Emergency Medicine | 225 E Chicago Ave, Chicago, IL 60611 | 2007-04-02 |
| Find all providers in CHICAGO | ||||
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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.