SOUTHERN ILLINOIS ENDOSCOPY (NPI# 1083988380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083988380 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS ENDOSCOPY |
| Practice Address |
2810 Frank Scott Parkway Suite 716 Belleville IL 62223-6802 |
| Practice Telephone | 6183550880 |
| Practice Fax Number | 6183550881 |
| Mailing Telephone | 6183550880 |
| Mailing Fax Number | 6183550881 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | DR. VASANTHA PERJE PAI (PRESIDENT) |
| Authorized Official Telephone | 6183550880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036.097852 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2810 FRANK SCOTT PARKWAY SUITE 716 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1982852471 | Harry M Friedland, Md Pa | Internal Medicine | 5 Franklin Ave. Ste 307, Belleville, NJ 07109 | 2008-09-09 |
| 1558553024 | Vasantha Pai M.d. P.C. | Internal Medicine | 300 W Lincoln St Ste 302, Belleville, IL 62220-1987 | 2007-08-17 |
| 1861548869 | Robert D Fricke Md | Internal Medicine | 300 W Lincoln St Ste 400, Belleville, IL 62220-1987 | 2007-01-25 |
| 1306921218 | Vasantha P Pai | Internal Medicine | 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223-5007 | 2006-10-26 |
| 1407951478 | Stephen A. Schmidt Md Sc | Internal Medicine | 300 W Lincoln St, Belleville, IL 62220-1987 | 2006-09-14 |
| 1356377816 | Yazan A Abu Qwaider | Internal Medicine | 4600 Memorial Dr Ste 260, Belleville, IL 62226-5363 | 2006-06-24 |
| 1548773294 | Msa Alliance | Internal Medicine | 4600 Memorial Dr Ste 260, Belleville, IL 62226-5363 | 2017-11-15 |
| 1447590328 | Metro East Gastroenterology Ltd. | Internal Medicine | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2013-02-28 |
| 1750576211 | Stephen A Schmidt | Internal Medicine | 300 W Lincoln St, Suite 402, Belleville, IL 62220-1987 | 2007-09-07 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
Please comment or provide details below to improve the information on SOUTHERN ILLINOIS ENDOSCOPY.
| 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.