DR. JOHN C KELL (NPI# 1114987518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114987518 |
| Entity Type | Individual |
| Full Name | DR. JOHN C KELL |
| Credential | MD |
| Practice Address |
101 S Major St Eureka IL 61530-1246 |
| Practice Telephone | 3094672371 |
| Practice Fax Number | 3094672963 |
| Mailing Telephone | 3094672371 |
| Mailing Fax Number | 3094672963 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2013-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036100702 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036100702 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036100702 | 05 |
| Street Address |
101 S MAJOR ST |
| City | EUREKA |
| State | IL |
| Zip Code | 61530-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790104370 | Anna Schwindenhammer | Physical Therapist | 101 S Major St, Eureka, IL 61530-1246 | 2014-04-10 |
| 1295066983 | Advocate Health and Hospitals Corp. | Medicare Defined Swing Bed Unit | 101 S Major St, Eureka, IL 61530-1246 | 2010-01-20 |
| 1336319565 | Sheri J Baker | Physical Therapist | 101 S Major St, Eureka, IL 61530-1246 | 2008-03-04 |
| 1689859795 | Eureka Community Hospital | Clinic/Center | 101 S Major St, Eureka, IL 61530-1246 | 2008-01-08 |
| 1578747812 | Eureka Community Hospital | General Acute Care Hospital | 101 S Major St, Eureka, IL 61530-1246 | 2007-12-21 |
| 1538343876 | Bromenn Healthcare, Inc. | General Acute Care Hospital | 101 S Major St, Eureka, IL 61530-1246 | 2007-12-21 |
| 1629090402 | Carle Eureka Hospital | Medicare Defined Swing Bed Unit | 101 S Major St, Eureka, IL 61530-1246 | 2006-07-24 |
| 1184644023 | Carle Eureka Hospital | General Acute Care Hospital | 101 S Major St, Eureka, IL 61530-1246 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134464316 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 101 S. Major Street, Eureka, IL 61530 | 2012-11-29 |
| 1508009234 | Woodford County | Substance Abuse Rehabilitation Facility | 105 E Court St, Eureka, IL 61530 | 2009-04-10 |
| 1609889914 | Apostolic Christian Home of Eureka | Skilled Nursing Facility | 610 W. Cruger St., Eureka, IL 61530 | 2006-08-15 |
| 1326003344 | Eric John Larson | Counselor | 109 E Eureka, Eureka, IL 61530 | 2006-04-20 |
| 1467789511 | Julie Tuttle | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61530 | 2009-11-11 |
| 1720073414 | Maple Lawn Health Center | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2005-09-19 |
| 1992158356 | Kendra Mickelson | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-07-20 |
| 1720439110 | Loft Rehabilitation and Nursing LLC | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-06-27 |
| 1841470374 | Maple Lawn Homes Inc. | Clinic/Center | 700 N Main St, Eureka, IL 61530-1085 | 2007-11-13 |
| 1093818767 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 501 W Center St, Eureka, IL 61530-1111 | 2006-09-07 |
| Find all providers in zip 61530 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346366564 | Daniel Henry Ziegler | Emergency Medicine | 571 Westgate Dr, Eureka, CA 95503-6657 | 2007-03-21 |
| 1083640213 | Wahidullah Wahidullah | Emergency Medicine | St Joseph Hospital - Eureka, 2700 Dolbeer St, Eureka, CA 95501-4799 | 2006-06-22 |
| 1407882632 | Alexander Strachan Jr. | Emergency Medicine | St Joseph Hosptial - Eureka, 2700 Dolbeer Street, Eureka, CA 95501-4799 | 2006-06-22 |
| 1154383875 | Paul Windham | Emergency Medicine | 1915 Harrison Ave Ste A, Eureka, CA 95501-3230 | 2006-04-06 |
| 1629044961 | Greenwood County Hospital | Emergency Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2006-02-27 |
| 1598746950 | Lei H Winget | Emergency Medicine | 311 W Harris St, Eureka, CA 95503-4030 | 2005-11-10 |
| 1497017339 | Eric C Robinson | Emergency Medicine | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2012-06-15 |
| 1437415692 | Nicole Christine Shattuck | Emergency Medicine | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2012-04-02 |
| 1255489050 | Joseph B. Burkes | Emergency Medicine | 714 F St, Eureka, CA 95501-1036 | 2007-01-08 |
| 1821006263 | Jack Geoula | Emergency Medicine | 2700 Dolbeer St, St Joseph Hospital - Eureka, Eureka, CA 95501-4736 | 2006-08-03 |
| Find all providers in EUREKA | ||||
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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.