National Provider Identifier (NPI)
DECATUR


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

DECATUR · 102 W KENWOOD AVE · Search Result

NPI Name Taxonomy Address Enumeration
1376534636 Jeffrey Bruce Rounds Specialist/Technologist 102 W Kenwood Ave, Decatur, IL 62526-4300 2005-11-04
1497277263 Jonathan Roderick Dutt Family Medicine 102 W Kenwood Ave, Decatur, IL 62526-4368 2017-07-12
1407376338 Board of Trustees of Southern Illinois University Clinic/Center 102 W Kenwood Ave, Decatur, IL 62526-4368 2017-06-21
1992234504 Nicole Gabriel Tenegra Family Medicine 102 W Kenwood Ave, Decatur, IL 62526-4368 2017-06-07
1811340979 Aimen Naeem Family Medicine 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 2016-07-13
1528411683 Hema Patel Family Medicine 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 2016-07-13
1578914867 Deepti Sood Family Medicine 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 2016-06-28
1780065730 Zeerak Qureshi Family Medicine 102 W Kenwood Ave, Ste 100, Decatur, IL 62526-4368 2015-06-16
1780076901 Audra L Trump Nurse Practitioner 102 W Kenwood Ave, Decatur, IL 62526-4368 2015-02-25
1619396736 Michael Knobeloch Counselor 102 W Kenwood Ave, Suite 120a, Decatur, IL 62526-4368 2014-04-16
1932464633 Alicia Koontz Physical Therapy Assistant 102 W Kenwood Ave, Decatur, IL 62526-4368 2012-07-09
1205190428 Robyn Ploessl Physical Therapist 102 W Kenwood Ave, Decatur, IL 62526-4368 2012-07-03
1457645145 Terry Soper Nurse Practitioner 102 W Kenwood Ave, Suite 120, Decatur, IL 62526-4368 2011-05-31
1588953715 Sungmi Choi Nurse Practitioner 102 W Kenwood Ave, Ste 120, Decatur, IL 62526-4368 2011-03-28
1023220720 Drs Graham & Graham Ltd Podiatrist 102 W Kenwood Ave, Suite 150, Decatur, IL 62526-4368 2007-05-04
1023160728 Virginia Ann Kerwin Dietitian, Registered 102 W Kenwood Ave, Decatur, IL 62526-4368 2007-01-16
1285713768 Tammy Kay Munch Physician Assistant 102 W Kenwood Ave, Suite 110, Decatur, IL 62526-4368 2006-11-03
1437246865 Decatur Memorial Hospital Durable Medical Equipment & Medical Supplies 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 2006-10-06
1346343944 Michael E Clark Podiatrist 102 W Kenwood Ave, Ste 160, Decatur, IL 62526 2006-09-07
1578520995 Nehemiah T Tan Internal Medicine 102 W Kenwood Ave, Ste 110, Decatur, IL 62526-4300 2006-04-28
1235105404 Michael Stephen Koch Specialist/Technologist 102 W Kenwood Ave, Decatur, IL 62526-4300 2006-02-27
1861474413 John R Graham Podiatrist 102 W Kenwood Ave, Suite 150, Decatur, IL 62526-4300 2005-11-18
1912093816 Cara A Gravlin Nurse Practitioner 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 2006-10-05
1043790306 Lori A Bland Nurse Practitioner 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 2018-08-16
1265927313 Danielle Oros Nurse Practitioner 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 2018-06-29
1801265418 Staci L Bonds Nurse Practitioner 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 2015-09-24
1427132190 Sandy L Yockey Pediatrics 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 2006-10-25
1275976094 Zachary James Shipp Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2013-04-11
1043828296 Amna Karim Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2020-07-14
1245857861 Abhijeet S Joshi Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2020-06-30
1952925273 Nikhil R Vatti Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2020-06-02
1295359503 Adrine A Markosyan Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2020-06-02
1932723269 Moomal P Shaikh Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2020-06-02
1538792262 Jordyn Mathias Counselor 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2020-02-21
1447802681 Jaehyeon Park Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2019-07-09
1568024867 Samantha A Agar Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2019-07-08
1821650730 Abhinay Walia Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2019-07-01
1225699671 Benjamin Ford Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2019-06-26
1538728886 Ronika Nirankari Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2019-06-11
1467938738 Asad Naeem Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2018-07-19
1689150179 Vasmeen Ratra Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2018-07-17
1720574403 Jaime Armah Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2018-07-06
1801382858 Michael R Digiovanni Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2018-07-02
1114412020 Nadine A Seudeal Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2018-06-25
1013439025 Saranya Tharmakulasingam Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2017-07-11
1215458955 Pejman Jamkhou Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2017-07-03
1407377609 Raheel Jiwan Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2017-06-28
1598285884 Shaan Valji Family Medicine 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 2017-06-27
1528439346 Tracey Lee Lewis Physician Assistant 102 W Kenwood Ave Ste 100, Decatur, IL 62526 2015-10-20
1356862551 Amruta Dutia Family Medicine 102 W Kenwood Ave Ste 102, Decatur, IL 62526-4380 2017-06-28
1942318837 Leroy Richard Hall Psychologist 102 W Kenwood Ave Ste 120, Decatur, IL 62526-6380 2006-08-29
1205113826 Tara Ulis Social Worker 102 W Kenwood Ave Ste 120a, Decatur, IL 62526-4302 2011-11-10
1083076467 Andrea Burns Counselor 102 W Kenwood Ave Ste 120a, Decatur, IL 62526-4368 2016-03-24