KENNETH J DOLS (NPI# 1134147200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134147200 |
| Entity Type | Individual |
| Full Name | KENNETH J DOLS |
| Credential | MD |
| Practice Address |
1802 S. Mattis Avenue Orthopedics Champaign IL 61821 |
| Mailing Address |
P.o. Box 6002 Urbana IL 61803-6002 |
| Practice Telephone | 2173837676 |
| Practice Fax Number | 2173834910 |
| Mailing Telephone | 2173268300 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036067713 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DMERC | 0533210001 | 01 |
| Street Address |
1802 S. MATTIS AVENUE ORTHOPEDICS |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255310629 | Hyunchul Jung | Anesthesiology | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-01-12 |
| 1669616611 | Katherine Stout | Nurse Practitioner | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2009-04-21 |
| 1881807642 | Shabeera Rauther | Anesthesiology | 1802 S. Mattis Avenue, Pain Center, Champaign, IL 61821 | 2007-05-08 |
| 1033276324 | Julie A Young | Physician Assistant | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2007-01-03 |
| 1528146883 | James Berkes | Physician Assistant | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-11-02 |
| 1982704102 | James K Sobeski | Orthopaedic Surgery | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-09-25 |
| 1770698789 | Brian J Cummings | Physician Assistant | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-08-20 |
| 1043230089 | Phillip K Logsdon | Podiatrist | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-07-20 |
| 1578589834 | Scott V Kline | Orthopaedic Surgery | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-07-13 |
| 1073565784 | Michael C Moran | Orthopaedic Surgery | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396254140 | The Carpal Tunnel Center LLC | Orthopaedic Surgery | 1605 S State St Ste 1a, Champaign, IL 61820-7231 | 2017-09-25 |
| 1639406440 | Spine Consultants, LLC | Orthopaedic Surgery | 2514 Village Green Pl, Champaign, IL 61822-7675 | 2009-11-16 |
| 1932541927 | Muthana Sartawi | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2013-07-19 |
| 1073958740 | James Xiao Liu | Orthopaedic Surgery | 2300 S 1st St, Champaign, IL 61820-7661 | 2013-05-07 |
| 1750552881 | Denis A. Williams | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2008-03-17 |
| 1861692394 | Erick Makio Kawakita | Orthopaedic Surgery | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2007-07-23 |
| 1437352960 | Mark E Palermo | Orthopaedic Surgery | 1802 S Mattis Ave, Ortho, Champaign, IL 61821-5923 | 2007-06-11 |
| 1447327036 | David R Zeman | Orthopaedic Surgery | 2300 S 1st St, Champaign, IL 61820-7661 | 2006-11-29 |
| 1538175369 | Shawn L. Love | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2006-08-01 |
| 1578589834 | Scott V Kline | Orthopaedic Surgery | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-07-13 |
| Find all providers in CHAMPAIGN | ||||
Please comment or provide details below to improve the information on KENNETH J DOLS.
| 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.