DARRYL FERNANDES (NPI# 1336186113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336186113 |
Entity Type | Individual |
Full Name | DARRYL FERNANDES |
Credential | MD |
Practice Address |
1300 Franklin Ave Ste 210 Normal IL 61761-3588 |
Practice Telephone | 3094521193 |
Practice Fax Number | 3094521349 |
Mailing Telephone | 3094521193 |
Mailing Fax Number | 3094521349 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2012-10-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208C00000X | Colon & Rectal Surgery | 036108683 | IL | Allopathic & Osteopathic Physicians |
Street Address |
1300 FRANKLIN AVE STE 210 |
City | NORMAL |
State | IL |
Zip Code | 61761-3588 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184746281 | Gerardo A. Grieco, M.d., S.c. | Surgery | 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 | 2007-04-06 |
1710024674 | Joseph V Piller | Physician Assistant | 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 | 2007-01-31 |
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 | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477189959 | Mantilla Surgical Sc | Colon & Rectal Surgery | 42 Gale Ave, River Forest, IL 60305-2010 | 2020-03-17 |
1245662626 | Ajit Pai | Colon & Rectal Surgery | 1775 W Dempster Street, Advocate Lutheran Hospital, Parkridge, IL 60016-4993 | 2013-08-07 |
1376845149 | Saeed Salem Albalawi | Colon & Rectal Surgery | 2626 N Ashland Ave, Apartment #1, Chicago, IL 60614-1102 | 2010-11-29 |
1386962207 | Gerald Gantt Jr. | Colon & Rectal Surgery | 840 S Wood St Ste 518e, Chicago, IL 60612 | 2010-05-17 |
1265498463 | Shanmugam Lakshmanan Sc | Colon & Rectal Surgery | 111 E Rogers St, Salem, IL 62881-2902 | 2006-04-25 |
1225014889 | Sanath Kumar | Colon & Rectal Surgery | 9445 W 144th Pl, Orland Park, IL 60462-2543 | 2005-12-15 |
1942291604 | Vitaliy Y. Poylin | Colon & Rectal Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2005-11-02 |
1457348401 | Jan Rakinic | Colon & Rectal Surgery | 315 W Carpenter St, 2nd Floor, Springfield, IL 62702-4901 | 2005-10-04 |
1104379973 | Jean-francois Tremblay | Colon & Rectal Surgery | 1550 N Northwest Hwy, Suite 107, Park Ridge, IL 60068-1411 | 2016-07-28 |
1558814251 | Jean-sebastien Trepanier | Colon & Rectal Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2016-07-28 |
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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.