DR. MICHAEL LITTLE (NPI# 1093915902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093915902 |
Entity Type | Individual |
Full Name | DR. MICHAEL LITTLE |
Credential | M.D. |
Practice Address |
1300 Pin Oak Dr Carterville IL 62918-1665 |
Mailing Address |
1400 Pin Oak Dr Carterville IL 62918-1600 |
Practice Telephone | 6189853333 |
Enumeration Date | 2007-07-19 |
Last Update Date | 2019-03-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036.129749 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036129749 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164907960 | Michael Little | Nurse Practitioner | 1 Hospital Dr Fl 5, Charlottesville, VA 22908-0816 | 2018-09-27 |
1619249943 | Michael Little | Specialist/Technologist | 2900 Hannah Boulevard, Sports Medicine Suite B102, East Lansing, MI 48823-5374 | 2012-02-02 |
1194035048 | Michael Ryan Little | Behavioral Analyst | 3047 Errol Flynn St Unit 101, Las Vegas, NV 89122-1744 | 2010-10-13 |
1992261432 | Michael Little | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2019-02-20 |
1396225033 | Michael Little | Physical Therapist | 1900 N Frances St, Terrell, TX 75160-1215 | 2018-08-21 |
1154819431 | Michael Andrew Little | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2018-04-23 |
1104106822 | Michael R Little | Pharmacist | 7135 Beechmont Ave, Cincinnati, OH 45230-4114 | 2011-08-25 |
1043412414 | Michael Brandon Little | Anesthesiology | 7703 Floyd Curl Dr, Mc 7977, San Antonio, TX 78229-3901 | 2007-06-05 |
1871708891 | Michael Jonathan Little | Pediatrics | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2007-05-12 |
1588747307 | Michael Edward Little Sr. | Dentist | 11503 Sunrise Valley Drive, Reston, VA 20191 | 2006-10-23 |
Street Address |
1300 PIN OAK DR |
City | CARTERVILLE |
State | IL |
Zip Code | 62918-1665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
Find all providers in zip 62918 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720033046 | Siloam LLC | Radiology | 10286 Fleming Rd, Carterville, IL 62918-3351 | 2006-05-24 |
1407266745 | Mary K Dean | Radiology | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2014-05-07 |
1447318050 | Southern Illinois Radiation Oncology LLC | Radiology | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2006-12-05 |
1801835913 | Jack T Sandford | Radiology | 10286 Fleming Rd, Carterville, IL 62918-3351 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
Find all providers with the same taxonomy |
City | CARTERVILLE |
Zip Code | 62918 |
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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.