DR. ALEC ESHELMAN (NPI# 1992210975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992210975 |
| Entity Type | Individual |
| Full Name | DR. ALEC ESHELMAN |
| Credential | PH.D. |
| Practice Address |
374 E Grand Ave Carbondale IL 62901-3962 |
| Mailing Address |
11639 W Cypress Dr Carbondale IL 62901-0721 |
| Practice Telephone | 6184535371 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.009677 | IL | Behavioral Health & Social Service Providers |
| Street Address |
374 E GRAND AVE |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124064035 | Southern Illinois University Student | Pharmacy | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2006-06-20 |
| 1134748635 | Warren Thomas Bush | Psychologist | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2020-04-14 |
| 1639715543 | Paul Eric Winchester | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2019-11-26 |
| 1952947004 | Jennifer Winchester | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2019-11-25 |
| 1780133165 | Thomas Norbert Cerny | Pharmacist | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2016-09-27 |
| 1871834200 | Kyle Michael Chamness | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2013-03-11 |
| 1780921312 | Christy L Hamilton | Counselor | 374 E Grand Ave, Mail Code 6740, Carbondale, IL 62901-3962 | 2013-01-16 |
| 1659617884 | Rosemary Elizabeth Simmons | Psychologist | 374 E Grand Ave, Counseling Center, Mail Code 4715, Siu, Carbondale, IL 62901-3962 | 2012-12-16 |
| 1639397128 | Russell Edward Klein | Dentist | 374 E Grand Ave, Student Health Center Sivc, Carbondale, IL 62901 | 2007-04-23 |
| 1629293709 | Kendall Marie Wachter | Dentist | 374 E Grand Ave, Student Health Center Siuc, Carbondale, IL 62901 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306196761 | Jean A. Cunningham | Psychologist | 231 W Main St Ste 1, Carbondale, IL 62901-2948 | 2012-09-13 |
| 1144479478 | Holly Cormier | Psychologist | 139 Pine Shore Dr, 37, Carbondale, IL 62902-7503 | 2008-09-10 |
| 1770795882 | Lori Anne Hinsley | Psychologist | Student Health Center, 374 E Grand, Carbondale, IL 62901 | 2007-05-03 |
| 1417173782 | Debra Lynn Braunling Mcmorrow | Psychologist | 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 | 2007-04-17 |
| 1376661272 | James S Peterson | Psychologist | 1400 W Main, Suite 16, Carbondale, IL 62901 | 2007-03-27 |
| 1437247012 | Melinda Luanne Bloos | Psychologist | 3200 Fishback Rd, Milwood Executive Suites, Carbondale, IL 62901-6307 | 2006-10-10 |
| 1093740862 | Jeffrey Saunders Kellogg | Psychologist | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | 2006-07-11 |
| 1134748635 | Warren Thomas Bush | Psychologist | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2020-04-14 |
| 1700412871 | Jose Arroyo | Psychologist | 231 W Main St Ste 1, Carbondale, IL 62901-2948 | 2020-03-20 |
| 1376917021 | Sarah Kertz | Psychologist | 625 Wham Dr, Room 141, Carbondale, IL 62901-4313 | 2015-11-18 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on DR. ALEC ESHELMAN.
| 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.