MICHELLE M VANDORN (NPI# 1093817355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093817355 |
| Entity Type | Individual |
| Full Name | MICHELLE M VANDORN |
| Credential | DO |
| Practice Address |
4315 Memorial Dr Belleville IL 62226-5342 |
| Practice Telephone | 6182576220 |
| Mailing Telephone | 6182576220 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036-107561 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036-107561 | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036107561 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036107561 | 05 | |
| MO | 1093817355 | 05 |
| Street Address |
4315 MEMORIAL DR |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588057848 | Jessica Marie Willis | Nurse Practitioner | 4315 Memorial Dr, Belleville, IL 62226-5342 | 2015-03-11 |
| 1760885693 | Roohi Siraj | Family Medicine | 4315 Memorial Dr, Belleville, IL 62226-5342 | 2014-10-07 |
| 1285729210 | Protestant Memorial Medical Center, Inc. | Skilled Nursing Facility | 4315 Memorial Dr, Belleville, IL 62226-5342 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1952953903 | Dr. Nesochi LLC | Internal Medicine | 50 Newark Ave Ste 108, Belleville, NJ 07109-1193 | 2019-07-10 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1730501206 | Maria Bernadette Bahena Yballe | Internal Medicine | 40 Bernice Rd, Belleville, NJ 07109-1508 | 2014-01-17 |
| 1578861787 | Medical Board Prep Inc | Internal Medicine | 5 Franklin Ave Ste 505, Belleville, NJ 07109-3566 | 2011-03-11 |
| 1558695494 | Paul Anthony Rusnack | Internal Medicine | 6 Sixteenth Green Ct, Belleville, IL 62220-4836 | 2009-09-24 |
| 1376785626 | Mustafa Sidali Do PC | Internal Medicine | 380 Union Ave, Belleville, NJ 07109-2122 | 2009-04-01 |
| 1003096140 | Dennis P Larson | Internal Medicine | 509 E Waters Edge Dr, Belleville, IL 62221-7813 | 2007-11-06 |
| 1336273119 | Jawad Khan | Internal Medicine | 8601 West Main Street, Suite 101, Belleville, IL 62223 | 2007-03-15 |
| 1649321183 | Ventrapragada S Mohan | Internal Medicine | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-12 |
| 1710075452 | Francis Thomas Molinari | Internal Medicine | 625 Joralemon Street, Belleville, NJ 07109 | 2006-10-10 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
Please comment or provide details below to improve the information on MICHELLE M VANDORN.
| 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.