DARAH DODT (NPI# 1124472196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124472196 |
Entity Type | Individual |
Full Name | DARAH DODT |
Credential | FNP-C |
Practice Address |
200 Health Care Dr Greenville IL 62246-1154 |
Mailing Address |
916 Talon Dr O Fallon IL 62269-1848 |
Practice Telephone | 6186641230 |
Enumeration Date | 2016-04-15 |
Last Update Date | 2019-05-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2016006910 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209014192 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
916 Talon Dr, O Fallon, IL 622691848 | 6186288211 |
Street Address |
200 HEALTH CARE DR |
City | GREENVILLE |
State | IL |
Zip Code | 62246-1154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245237825 | Ann Hagedorn | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2005-06-28 |
1841836533 | Jordan Vandyke | Physical Therapist | 200 Health Care Dr, Greenville, IL 62246-1154 | 2019-11-18 |
1588143002 | Jennifer Helmholt | Registered Nurse | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-08-07 |
1962904805 | Cep America Illinois Intensivists | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-03-07 |
1225537137 | Cepamerica Illinois LLP | Emergency Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-02-06 |
1023517935 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-02-06 |
1013464031 | Christopher Engele | Registered Nurse | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-09-07 |
1669929790 | Anna White | Physical Therapist | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-09-07 |
1508217605 | Huzefa Chinwala | Emergency Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-06-29 |
1609252444 | Charles Ryan Fields | Nurse Practitioner | 200 Health Care Dr, Greenville, IL 62246-1154 | 2015-08-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
Find all providers in zip 62246 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
1871057257 | Brittany Hendrix | Nurse Practitioner | 104 Camellia Ave Ste A, Greenville, AL 36037-1514 | 2019-01-30 |
1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
1679002745 | Maria C Muhlenkamp | Nurse Practitioner | 1101 Jackson St., Suite B, Bethel Cardiology, Greenville, OH 45331 | 2017-06-12 |
1225458961 | Stephanie Bank | Nurse Practitioner | St Camillus Palliative Care, 317 St. Fancis Drive Ste 125, Greenville, SC 29601-3900 | 2014-04-21 |
1417278425 | Melanie Lewis Wyrick | Nurse Practitioner | 210 Oakwood Ct, Greenville, SC 29607-5832 | 2010-06-14 |
1184813420 | Marian S Mccray | Nurse Practitioner | 600 Arlington Ave, Greenville, SC 29601-3204 | 2007-10-23 |
1760531057 | Beverly Wells Storck | Nurse Practitioner | 2577 W. 5th Street, Greenville, NC 27834 | 2007-01-09 |
1013090786 | Tammy Bennett | Nurse Practitioner | 1757 Woodruff Rd, Greenville, SC 29607-6943 | 2006-10-24 |
1629036397 | Patricia Dix | Nurse Practitioner | Physicians East Ugent Care, 1913 East Firetower Road, Greenville, NC 27858-8545 | 2006-05-03 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 62246 |
Please comment or provide details below to improve the information on DARAH DODT.
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.