CA GROUP, LLC (NPI# 1356632186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356632186 |
| Entity Type | Organization |
| Organization Name | CA GROUP, LLC |
| Practice Address |
4600 Memorial Drive Suite W-1 Belleville IL 62226 |
| Mailing Address |
4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 |
| Practice Telephone | 6162333066 |
| Mailing Telephone | 6182574644 |
| Mailing Fax Number | 6182576946 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | JAMES B DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6182574644 |
| Is Organization Subpart | Y |
| Parent Organization Name | CA GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1619327376 | Ca Group, LLC | Internal Medicine | 1404 Cross St, Suite 2940, Shiloh, IL 62269-2988 | 2016-06-14 |
| 1467876565 | Ca Group, LLC | Internal Medicine | 830 Admiral Weinel Blvd, Columbia, IL 62236-1992 | 2014-02-10 |
| 1699014407 | Ca Group, LLC | Internal Medicine | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-02-14 |
| 1700189974 | Ca Group, LLC | Internal Medicine | 317 Salem Pl, Suite180, Fairview Heights, IL 62208-1367 | 2010-12-09 |
| 1255634424 | Ca Group, LLC | Internal Medicine | 310 N Seven Hills Rd, Ste 150, O Fallon, IL 62269-4111 | 2010-12-09 |
| 1376857656 | Ca Group, LLC | Internal Medicine | 4550 Memorial Dr, Ste 310, Belleville, IL 62226-5372 | 2010-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CA GROUP, LLC | 410 William Ave S, Renton, WA 98057 |
| Street Address |
4600 MEMORIAL DRIVE SUITE W-1 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901487 | Pc Associates,llc | Family Medicine | 4600 Memorial Drive, Ste. 220, Belleville, IL 62226 | 2005-08-31 |
| 1629386586 | Ob Practice, LLC | Obstetrics & Gynecology | 4600 Memorial Drive, Ste. 400, Belleville, IL 62226 | 2010-09-14 |
| 1689997280 | Ca Group LLC | Internal Medicine | 4600 Memorial Drive, Ste. W-1, Belleville, IL 62226 | 2010-03-10 |
| 1265608251 | Renee Lynne Davis | Nurse Practitioner | 4600 Memorial Drive, Suite G60, Belleville, IL 62226-5366 | 2008-04-30 |
| 1407021504 | Valerie J Griffin | Nurse Practitioner | 4600 Memorial Drive, Suite G60, Belleville, IL 62226-5366 | 2008-04-29 |
| 1588704613 | Orthopedic and Sports Medicine Physicians, Ltd | Specialist | 4600 Memorial Drive, Suite 200, Belleville, IL 62226 | 2007-02-07 |
| 1205905197 | Khai Ngo | Pediatrics | 4600 Memorial Drive, Suite 280, Belleville, IL 62276-5366 | 2006-11-07 |
| 1508953746 | Southern Illinois Physician Services, PC | Obstetrics & Gynecology | 4600 Memorial Drive, Suite 340, Belleville, IL 62226 | 2006-10-09 |
| 1376630103 | Southern Illinois Internal Medicine Ltd | Internal Medicine | 4600 Memorial Drive, Suite 310, Belleville, IL 62226-5366 | 2006-10-05 |
| 1306871660 | David Craig Norman | Pediatrics | 4600 Memorial Drive, Medical Office Center #2 Suite G60, Belleville, IL 62226-5366 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1962698597 | Cardiology Center of New Jersy LLC | Internal Medicine | 50 Newark Ave Ste 204, Belleville, NJ 07109-1193 | 2007-09-18 |
| 1467573105 | Core Diagnostics Pa | Internal Medicine | 1 Franklin Ave, Belleville, NJ 07109 | 2007-04-02 |
| 1205953767 | Muhlenberg Heart Group | Internal Medicine | 338 Cortlandt St, Belleville, NJ 07109-3202 | 2007-03-22 |
| 1609962992 | Bulent Dincer | Internal Medicine | 517 E Waters Edge Dr, Belleville, IL 62221-7813 | 2006-10-05 |
| 1568480374 | John J Lehman Jr. | Internal Medicine | 4600 Memorial Dr Ste W3, Belleville, IL 62226-5359 | 2006-07-18 |
| 1891729497 | Metro Cardiology Group Ltd | Internal Medicine | 4600 Memorial Dr Ste 420, Belleville, IL 62226-5366 | 2006-07-10 |
| 1184602096 | Mohammad Mithal Vakassi | Internal Medicine | 4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 | 2006-01-03 |
| 1063411957 | Mario A Criscito | Internal Medicine | 50 Newark Ave, Suite 204, Belleville, NJ 07109-1185 | 2005-07-21 |
| 1962054551 | Vanessa Ahearn | Internal Medicine | 5 Franklin Ave Ste 302, Belleville, NJ 07109-3522 | 2019-07-12 |
| 1629333711 | Keshav M Shiva Md Pa | Internal Medicine | 140 Belmont Ave, 102, Belleville, NJ 07109-1017 | 2012-07-05 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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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.