SPRINGBOARD PEDIATRICS INC


Address: 2980 N Main St, Suite 2, Decatur, IL 62526-3291
Phone: 2177060953

SPRINGBOARD PEDIATRICS INC (NPI# 1982052585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982052585
Entity Type Organization
Organization Name SPRINGBOARD PEDIATRICS INC
Practice Address 2980 N Main St
Suite 2
Decatur
IL 62526-3291
Practice Telephone 2177060953
Enumeration Date 2016-05-25
Last Update Date 2016-06-21
Authorized Official Name MARTIN OKPALIKE (PRESIDENT)
Authorized Official Telephone 2178768000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 2980 N MAIN ST
SUITE 2
City DECATUR
State IL
Zip Code 62526-3291

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518322114 Stephanie Gaede Hearing Instrument Specialist 2980 N Main St, Ste 4, Decatur, IL 62526-3291 2015-12-24
1104256403 Pamela Wilson Hearing Instrument Specialist 2980 N Main St, Decatur, IL 62526-3291 2013-11-22
1962697250 Martin Okpalike Pediatrics 2980 N Main St, Ste 2, Decatur, IL 62526 2007-09-10
1053462739 Michael F. Stauder Optometrist 2980 N Main St, Suite 1, Decatur, IL 62526 2007-01-16

Providers in the same zip code

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1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
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1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1194120956 Tricia Salmon Anderson Clinic/Center 5040 Snapfinger Woods Dr Ste 104, Decatur, GA 30035-4020 2014-10-22
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1295175909 Oakhurst Pediatrics, LLC Clinic/Center 317 W Hill St Ste 111, Suite 111, Decatur, GA 30030-4368 2013-06-26
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Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

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.

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