WONIL TAE (NPI# 1336301779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336301779 |
| Entity Type | Individual |
| Full Name | WONIL TAE |
| Credential | MD |
| Practice Address |
2 Saint Anthonys Way Alton IL 62002-4569 |
| Practice Telephone | 6186422222 |
| Mailing Telephone | 6186422222 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30927 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS AL | 511-15246 | 01 |
| Street Address |
2 SAINT ANTHONYS WAY |
| City | ALTON |
| State | IL |
| Zip Code | 62002-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585677 | Dennis E. Sands | Obstetrics & Gynecology | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2005-11-17 |
| 1023584042 | Tawny Nicole Thomas | Nurse Practitioner | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2018-10-17 |
| 1992289979 | Roxanne R Strohbeck | Nurse Practitioner | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2018-09-17 |
| 1861975849 | Colin Michael Solomon | Nurse Practitioner | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2018-09-14 |
| 1639508039 | Billie Vincent | Nurse Practitioner | 2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 | 2013-11-06 |
| 1790065464 | Saikiran Raghavapuram | Internal Medicine | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2011-08-25 |
| 1407144231 | Kate A Smith | Physician Assistant | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2011-07-13 |
| 1700112521 | Lisa M Fritcher | Physician Assistant | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2009-10-29 |
| 1851524011 | Carole H Mckinstry | Nurse Practitioner | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2009-09-03 |
| 1902062862 | Priya Kumaraguru | Family Medicine | 2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194811430 | Joanna E. Janas-kaminsky | Internal Medicine | #2 Saint Anthony's Way, Suite 205, Alton, IL 62002-4569 | 2006-10-05 |
| 1972610921 | Robert Steven Edwards | Internal Medicine | 4434 Friarwood Dr, Alton, IL 62002-6925 | 2006-08-24 |
| 1760455661 | D'andrienne C. Jones | Internal Medicine | 2416 Bloomer Drive, Alton, IL 62002 | 2006-02-10 |
| 1174504682 | Mary Colette Schmidt | Internal Medicine | 1 Memorial Dr, Alton, IL 62002-6722 | 2005-11-10 |
| 1275525271 | Tariq L Quadri | Internal Medicine | 1 Professional Dr, Suite 220, Alton, IL 62002-5068 | 2005-08-17 |
| 1174151112 | Cep America - Illinois Snf, LLP | Internal Medicine | 3523 Wickenhauser Ave, Alton, IL 62002-2118 | 2020-03-27 |
| 1295247534 | Cep America - Illinois Snf, LLP | Internal Medicine | 3490 Humbert Rd, Alton, IL 62002-7101 | 2017-10-26 |
| 1841710712 | Jodi Keiko Pecka Yanagida | Internal Medicine | 1 Memorial Dr, Alton, IL 62002-6722 | 2017-06-22 |
| 1265960058 | Chandni Sinha | Internal Medicine | 1 Memorial Dr, Alton, IL 62002-6722 | 2017-05-24 |
| 1164973947 | Cep America - Illinois Hospitalist, LLP | Internal Medicine | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2016-10-17 |
| Find all providers in ALTON | ||||
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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.