WAYNE L. MANSON (NPI# 1255439261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255439261 |
| Entity Type | Individual |
| Full Name | WAYNE L. MANSON |
| Credential | M.D. |
| Practice Address |
600 N Main St Taylorville IL 62568-1511 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2172878855 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036-053230 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036053230 | 05 |
| Street Address |
600 N MAIN ST |
| City | TAYLORVILLE |
| State | IL |
| Zip Code | 62568-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447790 | Heather R Rice | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568-1668 | 2019-10-02 |
| 1417510397 | Lauren A. Henton | Social Worker | 600 N Main St, Taylorville, IL 62568-1668 | 2019-04-17 |
| 1699269654 | Brenda M. Hemann | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568 | 2018-06-21 |
| 1255859260 | Kelsie A. Tobias | Social Worker | 600 N Main St, Taylorville, IL 62568-1668 | 2017-08-30 |
| 1154867034 | Megan A. Winters | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568-1668 | 2017-01-16 |
| 1497006324 | Amanda Dawn Prather | Social Worker | 600 N Main St, Taylorville, IL 62568-1668 | 2012-10-02 |
| 1912263963 | Kristina M. Rexroad | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568-1668 | 2012-04-04 |
| 1548560089 | Rosemary L. Herzberger | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568 | 2010-11-01 |
| 1740591619 | Jennifer Marie Deluka | Pediatrics | 600 N Main St, Taylorville, IL 62568-1668 | 2010-06-25 |
| 1033372396 | Patricia A. Schneider | Registered Nurse | 600 N Main St, Taylorville, IL 62568-1511 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
| 1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
| 1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
| 1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
| 1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
| 1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
| 1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
| 1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
| Find all providers in zip 62568 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORVILLE |
| Zip Code | 62568 |
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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.