CEP AMERICA ILLINOIS INTENSIVISTS (NPI# 1962904805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962904805 |
Entity Type | Organization |
Organization Name | CEP AMERICA ILLINOIS INTENSIVISTS |
Practice Address |
200 Health Care Dr Greenville IL 62246-1154 |
Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
Practice Telephone | 6186641230 |
Mailing Telephone | 5103502680 |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-03-07 |
Authorized Official Name | DAVID BIRDSALL (ADMINISTRATIVE VP OF OPERATIONS) |
Authorized Official Telephone | 5103502600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871071837 | Cep America Illinois Intensivists | Internal Medicine | 2233 W Division St, Chicago, IL 60622-8151 | 2018-08-01 |
1538661475 | Cep America Illinois Intensivists | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-03-07 |
1528560463 | Cep America Illinois Intensivists | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-03-07 |
1972005817 | Cep America Illinois Intensivists | Internal Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2018-03-07 |
1992204184 | Cep America Illinois Intensivists | Internal Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-02-02 |
1386002368 | Cep America Illinois Intensivists | Internal Medicine | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2016-02-04 |
Street Address |
200 HEALTH CARE DR |
City | GREENVILLE |
State | IL |
Zip Code | 62246-1154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245237825 | Ann Hagedorn | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2005-06-28 |
1841836533 | Jordan Vandyke | Physical Therapist | 200 Health Care Dr, Greenville, IL 62246-1154 | 2019-11-18 |
1588143002 | Jennifer Helmholt | Registered Nurse | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-08-07 |
1225537137 | Cepamerica Illinois LLP | Emergency Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-02-06 |
1023517935 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-02-06 |
1013464031 | Christopher Engele | Registered Nurse | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-09-07 |
1669929790 | Anna White | Physical Therapist | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-09-07 |
1508217605 | Huzefa Chinwala | Emergency Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-06-29 |
1124472196 | Darah Dodt | Nurse Practitioner | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-04-15 |
1609252444 | Charles Ryan Fields | Nurse Practitioner | 200 Health Care Dr, Greenville, IL 62246-1154 | 2015-08-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
Find all providers in zip 62246 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and 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 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 |
---|---|---|---|---|
1841570645 | Delta Critical Care & Lung Consultants P.C. | Internal Medicine | 537 Anne Stokes Rd, Greenville, MS 38701-6904 | 2011-08-24 |
1013112614 | Christy Ross Sine | Internal Medicine | Palmetto Pulmonary and Critical Care, 3 St. Francis Drive, Ste 300, Greenville, SC 29601-3972 | 2007-06-15 |
1124093471 | Mohan P Philip | Internal Medicine | 4221 Ridgecrest Rd, Ste 107, Greenville, TX 75402-6015 | 2006-02-21 |
1720083793 | Mark A Mazer | Internal Medicine | 521 Moye Blvd Fl 1, Ecu Physicians Pulmonary/critical Care, Greenville, NC 27834-2849 | 2005-06-16 |
1871852624 | Douglas Schiller | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2012-05-15 |
1992024608 | William John Healy | Internal Medicine | 200 Patewood Dr Ste B300, Greenville, SC 29615-6338 | 2010-05-19 |
1275783425 | Hamed Ali | Internal Medicine | 521 Moye Blvd Fl 1, Ecu Physicians Pulmonary & Critical Care, Greenville, NC 27834-2849 | 2008-09-24 |
1588820674 | Badih Antonio Kabchi Jitani | Internal Medicine | 521 Moye Blvd, 1st Floor, Greenville, NC 27834-2849 | 2008-07-29 |
1538321492 | Anupama Tiwari | Internal Medicine | 521a Moye Blvd, Greenville, NC 27834-2849 | 2008-07-01 |
1215101514 | Manjunath Markandaya | Internal Medicine | 2100 Stantonsburg Rd, Vidant Medical Group, Greenville, NC 27834-2818 | 2008-04-17 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 62246 |
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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.