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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
2980 N MAIN ST SUITE 2 |
City | DECATUR |
State | IL |
Zip Code | 62526-3291 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
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 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
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 |
Find all providers in zip 62526 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1366972523 | Strawbridge Health LLC | Clinic/Center | 4150 Snapfinger Woods Dr Ste 100a, Decatur, GA 30035-3417 | 2017-06-19 |
1598125312 | Pediatrics and Adult Medicine Inc. | Clinic/Center | 4153 Flat Shoals Pkwy Bld C, Suite 300b, Decatur, GA 30034-4106 | 2016-03-07 |
1194120956 | Tricia Salmon Anderson | Clinic/Center | 5040 Snapfinger Woods Dr Ste 104, Decatur, GA 30035-4020 | 2014-10-22 |
1548671936 | Decatur Wellness Services, Inc. | Clinic/Center | 235 E Ponce De Leon Ave Ste 308, Decatur, GA 30030-3412 | 2014-05-19 |
1295175909 | Oakhurst Pediatrics, LLC | Clinic/Center | 317 W Hill St Ste 111, Suite 111, Decatur, GA 30030-4368 | 2013-06-26 |
1679814735 | Power In The Pews Ministry, Inc. | Clinic/Center | 5026 Snapfinger Woods Dr, Ste 110, Decatur, GA 30035-4063 | 2013-03-13 |
1912440207 | Oscar Medical, Inc | Clinic/Center | 3375 Memorial Dr, Decatur, GA 30032-2706 | 2016-11-18 |
1053867929 | Empower Family Medicine | Clinic/Center | 209 Swanton Way Ste A, Suite 101, Decatur, GA 30030-3274 | 2016-08-30 |
Find all providers in DECATUR |
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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.