MARTA T SPAIN (NPI# 1326009705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326009705 |
| Entity Type | Individual |
| Full Name | MARTA T SPAIN |
| Credential | MD |
| Practice Address |
1701 Curtis Rd Champaign IL 61822-9678 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173261477 |
| Practice Fax Number | 2173261110 |
| Mailing Telephone | 2173836792 |
| Mailing Fax Number | 2173834752 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 45526 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 15273865 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 018601 | 01 |
| Street Address |
1701 CURTIS RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-9678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366426033 | Beverly Minolta London | Obstetrics & Gynecology | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2005-12-06 |
| 1508464637 | Tricia Hogg | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2020-10-12 |
| 1033746144 | Jennifer Deschler | Pharmacist | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2020-03-26 |
| 1578074506 | Nicole Dawn Almeida | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822 | 2017-10-17 |
| 1710424965 | April D Johnson | Nurse Practitioner | 1701 Curtis Rd, Conv. Care, Champaign, IL 61822-9678 | 2017-01-26 |
| 1902355183 | Leia Flure | Dietitian, Registered | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2016-09-28 |
| 1205286432 | Faisal Abdulameer | Internal Medicine | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2016-06-19 |
| 1952751505 | Shejuti Guha | Internal Medicine | 1701 Curtis Rd, Carle Clinic, Champaign, IL 61822-9678 | 2016-06-14 |
| 1255780185 | Mohammad Alghussein | Internal Medicine | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2016-06-10 |
| 1619321015 | Molly Ford | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2016-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215176359 | Larry Lane | Obstetrics & Gynecology | 7 Lake Park Rd, Champaign, IL 61822-7101 | 2009-02-12 |
| 1548377559 | Patience Okpaku Adesida | Obstetrics & Gynecology | 2008 N Market St, Champaign, IL 61822-1308 | 2006-08-24 |
| 1205866415 | Ines O Baquero | Obstetrics & Gynecology | 1701 W. Curtis Road, Ob/gyn, Champaign, IL 61822 | 2006-07-04 |
| 1366426033 | Beverly Minolta London | Obstetrics & Gynecology | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2005-12-06 |
| 1750374807 | Suzanne R Trupin | Obstetrics & Gynecology | 2125 S Neil St, Champaign, IL 61820-7266 | 2005-08-24 |
| 1598105546 | Juliana Garr | Obstetrics & Gynecology | 101 W University Ave, Champaign, IL 61820-3981 | 2013-07-04 |
| 1639443245 | Laura Darko | Obstetrics & Gynecology | 101 W University Ave, Champaign, IL 61820-3909 | 2012-02-28 |
| 1629206164 | Susan Cooper-morphew | Obstetrics & Gynecology | 101 W University Ave, Champaign, IL 61820-3909 | 2009-06-23 |
| 1205007721 | Candace D Mcgregor | Obstetrics & Gynecology | 101 W University Ave, Champaign, IL 61820-3909 | 2008-03-13 |
| 1659542074 | Christina M Francis | Obstetrics & Gynecology | 101 W University Ave, Champaign, IL 61820-3909 | 2008-03-13 |
| Find all providers in CHAMPAIGN | ||||
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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.