BLOOMINGTON PERFUSIONIST INC. (NPI# 1326375346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326375346 |
| Entity Type | Organization |
| Organization Name | BLOOMINGTON PERFUSIONIST INC. |
| Practice Address |
2005 Jacobssen Dr Normal IL 61761-6279 |
| Mailing Address |
1419 Tamarack Cc Trl Normal IL 61761-5265 |
| Practice Telephone | 3098884000 |
| Mailing Telephone | 3098306663 |
| Mailing Fax Number | 3094549292 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |
| Authorized Official Name | ADAM SHERRICK (PRESIDENT) |
| Authorized Official Telephone | 3098306663 |
| Authorized Official Credential | CCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 28914899 | IL | Suppliers |
| Street Address |
2005 JACOBSSEN DR |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-6279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672859 | William John Ray | Internal Medicine | 2005 Jacobssen Dr, Ste A, Normal, IL 61761 | 2005-07-12 |
| 1275825432 | Premier Medical Group, LLC | Orthopaedic Surgery | 2005 Jacobssen Dr, Suite A, Normal, IL 61761-6287 | 2011-05-06 |
| 1710020052 | Urohealth Institute, L.L.C. | Clinic/Center | 2005 Jacobssen Dr, Suite A, Normal, IL 61761-6279 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083016752 | Hanger Prosthetics & Orthotics, Inc | Durable Medical Equipment & Medical Supplies | 211 Landmark Dr Ste A5, Normal, IL 61761-6165 | 2014-09-24 |
| 1639591688 | Toc LLC | Durable Medical Equipment & Medical Supplies | 2005 Jacobssen Dr. Suite A, Normal, IL 61761 | 2014-01-10 |
| 1144540725 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 100 S Fell Ave, Suite 103, Normal, IL 61761 | 2010-06-07 |
| 1558592949 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1701 Fort Jesse Rd, Normal, IL 61761-2285 | 2009-08-03 |
| 1629269097 | Schnuck Markets Inc. | Durable Medical Equipment & Medical Supplies | 1750 Bradford Ln, Normal, IL 61761-1294 | 2007-08-09 |
| 1629141247 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1550 E College Ave, Normal, IL 61761-2120 | 2006-11-15 |
| 1902916133 | Carepaks Health Services Incorporated | Durable Medical Equipment & Medical Supplies | 209 Susan Dr, Normal, IL 61761-6188 | 2006-08-30 |
| 1235144478 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 505 W Raab Rd, Normal, IL 61761-1007 | 2006-07-29 |
| 1396750402 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1502 Fort Jesse Rd, Normal, IL 61761-1980 | 2006-07-29 |
| 1215954516 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 2151 Shepard Rd, Normal, IL 61761-6414 | 2006-07-16 |
| Find all providers in NORMAL | ||||
Please comment or provide details below to improve the information on BLOOMINGTON PERFUSIONIST INC..
| 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.