Jiyai Tao (NPI# 1184125098, PAC ID# 2062767387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1184125098 |
| PAC ID by PECOS | 2062767387 |
| Professional Enrollment ID | I20190423000071 |
| Full Name | Jiyai Tao |
| Organization Legal Name | PROMISE HEALTHCARE NFP |
| Address |
819 Bloomington Rd Champaign IL 61820-2101 |
| Phone Number | 2173561558 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103071345 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 819 Bloomington Rd, Champaign, IL 61820-2101 | 2173561558 | PROMISE HEALTHCARE NFP |
| Organization Legal Name | PROMISE HEALTHCARE NFP |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Kohler | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Marisol Chirinos Tito | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Carrie Elizabeth Keenan | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Kristen Erickson | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sonja E Hansen | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Melonie M Darnall | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Shellane Tangen | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Constance S Thomas | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sandra Foltz | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Patricia Reichard | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Street Address |
819 BLOOMINGTON RD |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61820-2101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Kohler | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Marisol Chirinos Tito | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Carrie Elizabeth Keenan | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Kristen Erickson | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sonja E Hansen | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Melonie M Darnall | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Shellane Tangen | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Constance S Thomas | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sandra Foltz | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Patricia Reichard | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel T Logan | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Todd Johnson | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Nitin P Bhosale | Psychiatry | Pavilion Foundation | 809 W Church St, Champaign, IL 61820-3320 |
| Lawrence H Kessler | Optometry | 44 E Main St, Suite 100, Champaign, IL 61820-3636 | |
| Harry Reed Thompson Jr. | General Surgery | 413 E University Ave, Champaign, IL 61820-3826 | |
| Mahindra D Patel | Internal Medicine | 410 E University Ave, Suite 102, Champaign, IL 61820-3872 | |
| Steven J Damore | Radiation Oncology | Christie Clinic, LLC | 109 W University Ave, Champaign, IL 61820-3909 |
| Jessica M Sorensen | Physician Assistant | Christie Clinic, LLC | 101 W University Ave, Champaign, IL 61820-3909 |
| Sumra Tayebaly | Obstetrics/gynecology | Christie Clinic, LLC | 101 W University Ave, Champaign, IL 61820-3909 |
| Caitlyn Foote | Dermatology | Christie Clinic, LLC | 101 W University Ave, Champaign, IL 61820-3909 |
| Find all physicians in zip 61820 | |||
| City | CHAMPAIGN |
| Zip Code | 61820 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHAMPAIGN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jiyai Tao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.