MEAZA MULUGETA MENGISTU (NPI# 1164515672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164515672 |
| Entity Type | Individual |
| Full Name | MEAZA MULUGETA MENGISTU |
| Credential | M.D. |
| Practice Address |
1900 East Main St Danville IL 61832 |
| Mailing Address |
3510 Cambridge Court Apt 103 Danville IL 61832 |
| Practice Telephone | 2175544510 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1900 EAST MAIN ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114575602 | Elizabeth Ann Osborne | Technician | 1900 East Main St, Danville, IL 61832 | 2019-08-28 |
| 1902398068 | Jordan Michael Ellis | Dentist | 1900 East Main St, Danville, IL 61832-6183 | 2018-06-05 |
| 1164685533 | Victoria Lee Dunavan | Social Worker | 1900 East Main St, Danville, IL 61832 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| 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 |
|---|---|---|---|---|
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1245708767 | East Bay Premier Medical | Internal Medicine | 2090 Lusitano St, Danville, CA 94506-5022 | 2018-11-02 |
| 1528547247 | The James B. Haggin Memorial Hospital Inc | Internal Medicine | 105 Ponder Ct Ste 104, Danville, KY 40422-9050 | 2018-08-13 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1043662828 | Centra Health Professional Services, LLC | Internal Medicine | 414 Park Avenue, Danville, VA 24541-9998 | 2016-07-06 |
| 1467802264 | Philip Fischbacher | Internal Medicine | 696 San Ramon Valley Blvd, #101, Danville, CA 94526-4022 | 2016-06-13 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1073947917 | Waqas Nawaz | Internal Medicine | 209 S Crestwood Dr, Danville, PA 17821-8527 | 2013-08-28 |
| 1134563125 | Liberty Wellcare, Pllc | Internal Medicine | 216 Bluffwood Dr, Danville, KY 40422-9788 | 2013-04-22 |
| Find all providers in DANVILLE | ||||
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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.