JAMES NESSELROAD (NPI# 1164521928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164521928 |
| Entity Type | Individual |
| Full Name | JAMES NESSELROAD |
| Practice Address |
3375 N Seminary St Galesburg IL 61401-1251 |
| Practice Telephone | 3093435114 |
| Practice Fax Number | 3093437859 |
| Mailing Telephone | 3093435114 |
| Mailing Fax Number | 3093437859 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3375 N SEMINARY ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082751 | Kelley A Krug | Physician Assistant | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2005-09-07 |
| 1225687734 | Tiffany K Pinger | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-06 |
| 1831757103 | Tracie Leigh Placher | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-06-03 |
| 1770147738 | Emily L Dechow | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-25 |
| 1386142503 | Alivia Renea Derham | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2018-01-23 |
| 1780193110 | Rachel E Lewandowski | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-09-28 |
| 1346762101 | Deprince Cardenas | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-07-13 |
| 1114467636 | Natalie Fargher | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-03-02 |
| 1619328614 | Michelle L. Johnson | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2016-06-30 |
| 1639523921 | Jennifer Plue | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2016-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538251582 | Hamsaveni K Jagannathan | Family Medicine | 311 East Main Street, Suite 409, Galesburg, IL 61401 | 2006-09-28 |
| 1104837285 | Harsha Shrikant Mehta | Family Medicine | 575 N Kellogg St, Suite 2, Galesburg, IL 61401 | 2006-08-11 |
| 1609875145 | Jeffrey Hill | Family Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2005-07-18 |
| 1235444035 | Ruby Verma | Family Medicine | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2010-08-17 |
| 1053540237 | Annevay Conlee | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2009-07-08 |
| 1467673525 | The Doctors Group | Family Medicine | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2007-05-02 |
| 1104916485 | Robert Hickerson | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-10-15 |
| 1417058256 | Elizabeth J Puthenveetil | Family Medicine | 1707 N Henderson St, Galesburg, IL 61401-1320 | 2006-09-26 |
| 1407955362 | Richard Flacco | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-21 |
| 1255430120 | Valerie Flacco | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-21 |
| Find all providers in GALESBURG | ||||
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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.