TILITHA S SHAWGO (NPI# 1063669661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063669661 |
Entity Type | Individual |
Full Name | TILITHA S SHAWGO |
Practice Address |
751 N Rutledge St Springfield IL 62702-4909 |
Mailing Address |
Po Box 19638 Springfield IL 62794-9638 |
Practice Telephone | 2175454421 |
Mailing Telephone | 2175454421 |
Enumeration Date | 2008-08-26 |
Last Update Date | 2008-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
209.001606 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
751 N RUTLEDGE ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-4909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023011863 | Lucinda S Buescher | Dermatology | 751 N Rutledge St, Springfield, IL 62702-4909 | 2005-05-24 |
1831798933 | Robin E Simon | Nurse Practitioner | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-10-20 |
1891308185 | Whitney Ringer | Nurse Practitioner | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-08-26 |
1518581149 | Aliza Hasan | Dermatology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-05-29 |
1215559943 | Sindhu Reddy Pisati | Psychiatry & Neurology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-05-15 |
1205458270 | Paul Hyatt Guerin | Psychiatry & Neurology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-05-13 |
1215597398 | Alireza Showraki | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2019-06-19 |
1881252013 | Andrew Paul Thaliath | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2019-06-03 |
1891352126 | Emily M Ackerman | Nurse Practitioner | 751 N Rutledge St, Springfield, IL 62702-4968 | 2019-05-22 |
1245725308 | Cory Edward Sykora | Psychiatry & Neurology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2018-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
Find all providers in zip 62702 |
Taxonomy Code | 364SA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215095070 | Mary E Galdauskas | Clinical Nurse Specialist | 759 Chestnut St, Springfield, MA 01107-1619 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891978672 | Sara L Mccavitt | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Ste G13, Peoria, IL 61637-0001 | 2007-12-14 |
1356352512 | Mary Digate | Clinical Nurse Specialist | 100 Spalding Dr Ste 400, Naperville, IL 60540-6554 | 2006-08-11 |
1427690700 | Schuyler A Perez De Salmeron | Clinical Nurse Specialist | 333 Madison St, Joliet, IL 60435-8200 | 2019-10-08 |
1437707825 | Tracy Laluma Montesa | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-08-28 |
1174006290 | Mary Lyons | Clinical Nurse Specialist | 801 S Washington St, Naperville, IL 60540-7430 | 2018-09-13 |
1598284473 | Margaret Kearney | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2017-09-12 |
1699293936 | Anne Jenisch | Clinical Nurse Specialist | 2160 South First Avenue, Building 110, Room 6201, Maywood, IL 60523 | 2017-09-07 |
1700313202 | Carissa Waters | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2017-05-15 |
1548706708 | Veronica Matticks | Clinical Nurse Specialist | 1200 S York St, Suite Number 1132, Elmhurst, IL 60126-5626 | 2017-01-12 |
1366987406 | Jennifer Yokopenic | Clinical Nurse Specialist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2016-12-28 |
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City | SPRINGFIELD |
Zip Code | 62702 |
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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.