GUEORGUI S GUEORGUIEV (NPI# 1356336952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356336952 |
| Entity Type | Individual |
| Full Name | GUEORGUI S GUEORGUIEV |
| Credential | M.D. |
| Practice Address |
1614 E Norris Dr Ottawa IL 61350-3681 |
| Practice Telephone | 8154331010 |
| Practice Fax Number | 8154330067 |
| Mailing Telephone | 8154331010 |
| Mailing Fax Number | 8154330067 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036105269 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH ALLIANCE | 127259 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719243 | Gueorgui D Gueorguiev | Family Medicine | 303n Jackson St, Morrison, IL 61270-3042 | 2006-07-10 |
| Street Address |
1614 E NORRIS DR |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-3681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769298 | Loni F Nolte | Social Worker | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2018-08-07 |
| 1609227081 | Heather M Johnston | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2016-06-27 |
| 1013382209 | Sherri L Albert | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2015-12-14 |
| 1730560822 | Austin David Martin | Family Medicine | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2015-06-15 |
| 1659771863 | Justine Mucci | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2014-08-26 |
| 1760891766 | Danielle Pagano | Registered Nurse | 1614 E Norris Dr, Ottawa, IL 61350 | 2014-08-05 |
| 1659620342 | Kayla A Simons | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2012-09-10 |
| 1063749596 | Ottawa Regional Medical Center Inc. | Family Medicine | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2009-11-04 |
| 1548429509 | Ami M Dose | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2008-06-05 |
| 1568638989 | Ryan Joseph Tremb | Family Medicine | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2008-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023558541 | Ottawa Family Physicians, Chartered | Family Medicine | 120 E 19th St Ste A, Ottawa, KS 66067-4300 | 2017-03-02 |
| 1922487958 | German Gonzalo | Family Medicine | 30 Oaklane Dr, Ottawa, IL 61350-1135 | 2015-05-22 |
| 1376775205 | Melchor Paulo A Aranas | Family Medicine | 1306 Gemini Cir Ste 1, Ottawa, IL 61350-1695 | 2009-08-11 |
| 1992954226 | Amit Garg Ltd. | Family Medicine | 1232 Edna Cir, Ottawa, IL 61350-9143 | 2008-09-10 |
| 1174785133 | Katelyn Ann Leopold | Family Medicine | 1740 N Perry St Ste A, Ottawa, OH 45875-1173 | 2008-06-30 |
| 1689841900 | Jennifer R Maag | Family Medicine | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2008-05-15 |
| 1548486251 | Cristine Lorraine Goodwin | Family Medicine | 1428 S Main St Ste 4, Ottawa, KS 66067-3547 | 2007-04-18 |
| 1255448460 | Ushasri Koganti Mdsc | Family Medicine | 1129 Columbus St, Ottawa, IL 61350 | 2006-08-24 |
| 1326094673 | Victoria E Manfredi | Family Medicine | Access Medical Center, 2525 Carling Avenue, Ottawa, ON K2B7Z2 | 2006-05-26 |
| 1538118559 | Jeffrey S Eiden | Family Medicine | 1740 N Perry St, Suite A, Ottawa, OH 45875-1173 | 2006-05-08 |
| Find all providers in OTTAWA | ||||
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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.