RED BUD REGIONAL CLINIC COMPANY LLC (NPI# 1992191951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992191951 |
| Entity Type | Organization |
| Organization Name | RED BUD REGIONAL CLINIC COMPANY LLC |
| Practice Address |
509 Hamacher St Suite 103 Waterloo IL 62298-1592 |
| Mailing Address |
4000 Meridian Blvd Franklin TN 37067-6325 |
| Practice Telephone | 6189392273 |
| Practice Fax Number | 6189390245 |
| Mailing Telephone | 6159254954 |
| Mailing Fax Number | 6158464988 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | JAMES P WRIGHT (SENIOR DIRECTOR) |
| Authorized Official Telephone | 6154657587 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS/COMMUNITY HEALTH SYSTEMS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
509 HAMACHER ST SUITE 103 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101532 | Kenneth D Hawn | Pediatrics | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2005-08-12 |
| 1053846816 | Brittney Voyda | Nurse Practitioner | 509 Hamacher St, St # 102, Waterloo, IL 62298-1592 | 2017-04-28 |
| 1851830236 | Samantha Lynn Boman | Physical Therapist | 509 Hamacher St, Suite101, Waterloo, IL 62298-1592 | 2017-02-17 |
| 1346784675 | Associated Physicians Group Ltd | Physician Assistant | 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592 | 2016-12-06 |
| 1912373903 | Aaron P Henry | Physical Therapist | 509 Hamacher St, Ste 101, Waterloo, IL 62298-1592 | 2015-08-13 |
| 1821489477 | Linda Peck | Specialist/Technologist | 509 Hamacher St, Waterloo, IL 62298-1592 | 2015-02-17 |
| 1568853018 | St Anthony's Physician Organization of Illinois | Obstetrics & Gynecology | 509 Hamacher St, Ste 203, Waterloo, IL 62298-1592 | 2015-02-05 |
| 1053700229 | Kerri Dockins-hall | Physical Therapist | 509 Hamacher St, Ste 101, Waterloo, IL 62298-1592 | 2015-01-12 |
| 1508286477 | Cari Stefani | Nurse Practitioner | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2014-04-18 |
| 1578984563 | Kimberly K Ott | Audiologist | 509 Hamacher St, Suite 205, Waterloo, IL 62298-1592 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1033777610 | Emily Rose Pursley | Family Medicine | Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1609434281 | Shalini Chowdavarapu | Family Medicine | Ne Ia Family Practice Center, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1669826640 | Sapna Patel | Family Medicine | 2140 Logan Ave Ste C, Waterloo, IA 50703-1002 | 2016-04-15 |
| 1174752802 | Lane A Noble | Family Medicine | 2055 Kimball Ave Ste 100, Waterloo, IA 50702-5014 | 2009-07-01 |
| 1568698389 | Michelle Sarah Craig | Family Medicine | 2710 St. Francis Drive, Suite 210, Waterloo, IA 50702-5401 | 2009-06-08 |
| 1386879724 | Lydia Mustafic | Family Medicine | 2710 Saint Francis Dr Ste 210, Waterloo, IA 50702-5664 | 2009-05-28 |
| 1386651560 | David Robert Kobliska | Family Medicine | 2710 St.francis Dr, Waterloo, IA 50702-2081 | 2006-08-01 |
| Find all providers in WATERLOO | ||||
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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.