DR. KOSIT PRIEB (NPI# 1033154190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033154190 |
Entity Type | Individual |
Full Name | DR. KOSIT PRIEB |
Credential | M.D. |
Practice Address |
311 W Lincoln St Suite 200 Belleville IL 62220-1902 |
Mailing Address |
379 Oak Hill Dr Belleville IL 62223-2231 |
Practice Telephone | 6182332500 |
Practice Fax Number | 6182332520 |
Mailing Telephone | 6183980231 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2010-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036-047055 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036047055 | 05 |
Street Address |
311 W LINCOLN ST SUITE 200 |
City | BELLEVILLE |
State | IL |
Zip Code | 62220-1902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376530949 | John J Boeren | General Practice | 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 | 2005-09-29 |
1770042111 | Ahmed 15 LLC | Clinic/Center | 311 W Lincoln St, Belleville, IL 62220-1902 | 2019-03-15 |
1467803049 | Mallory Ann Butler | Nurse Practitioner | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2016-06-24 |
1275933756 | Belleville Surgical Center Ltd | Clinic/Center | 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 | 2014-09-03 |
1356760946 | Metro East Anesthesia LLC | Nurse Anesthetist, Certified Registered | 311 W Lincoln St, Ste 101, Belleville, IL 62220-1902 | 2014-04-10 |
1700218146 | Belleville Endoscopy Anesthesia | Anesthesiology | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2013-08-08 |
1851735450 | Mark S. Feldman, M.d. P.C. | Specialist | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2013-04-25 |
1497026686 | Belleville Endoscopy | Specialist | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2012-01-19 |
1770893919 | Robert Hellman Md. LLC | Anesthesiology | 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 | 2010-10-20 |
1215198973 | Cheryl L Kulik | Nurse Anesthetist, Certified Registered | 311 W Lincoln St, Ste 101, Belleville, IL 62220-1902 | 2008-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
Find all providers in zip 62220 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
1033510284 | Msa Alliance, LLC Dba-southern Illinois Vascular and Vein Surgery | Surgery | 4600 Memorial Dr, Suite120, Belleville, IL 62226-5368 | 2014-09-08 |
1548680267 | Msa Alliance, LLC | Surgery | 4600 Memorial Dr, Suite W2, Belleville, IL 62226-5368 | 2014-04-21 |
1578828612 | Melanie Renee Nukala | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2012-07-04 |
1063728038 | Msa Alliance, LLC | Surgery | 4600 Memorial Dr, Ste 240, Belleville, IL 62226-5368 | 2010-08-27 |
1407944192 | Southern Illinois Vascular Surgery, PC | Surgery | 311 W Lincoln St, Suite 200, Belleville, IL 62220-1902 | 2006-10-10 |
1194768432 | Hans Hassan Moosa | Surgery | 4600 Memorial Dr, Ste. 240, Belleville, IL 62226-5368 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
1063606432 | Mohammed Al-zoubaidi | Surgery | 2 Good Samaritan Way Ste 220, Mount Vernon, IL 62864-2476 | 2007-08-29 |
Find all providers with the same taxonomy |
City | BELLEVILLE |
Zip Code | 62220 |
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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.