KENNETH W SAPP (NPI# 1366421422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366421422 |
Entity Type | Individual |
Full Name | KENNETH W SAPP |
Credential | D.O. |
Practice Address |
3001a Sixth Street Laboratory, Naval Health Clinic Great Lakes Great Lakes IL 60088 |
Mailing Address |
325 East Blodgett Avenue Lake Bluff IL 60044-2112 |
Practice Telephone | 8476886850 |
Mailing Telephone | 8474821938 |
Enumeration Date | 2006-01-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0102037035 | VA | Allopathic & Osteopathic Physicians |
Street Address |
3001A SIXTH STREET LABORATORY, NAVAL HEALTH CLINIC GREAT LAKES |
City | GREAT LAKES |
State | IL |
Zip Code | 60088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083693428 | Jesse Harris Monestersky | Family Medicine | 3001a Sixth Street, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 | 2006-01-13 |
1467781666 | Chris Ebert | Military Health Care Provider | 3001a Sixth Street, Great Lakes, IL 60088-5230 | 2009-12-17 |
1790011740 | Jon Scott Little | Military Health Care Provider | 3001a Sixth Street, Great Lakes, IL 60088-5230 | 2009-10-27 |
1396860334 | Carlos Julio Albarracin | Physician Assistant | 3001a Sixth Street, Great Lakes, IL 60088-5230 | 2007-03-20 |
1073611000 | Tracy Lynn Benford Price | Psychiatry & Neurology | 3001a Sixth Street, Building 200h, 9th Floor, Great Lakes, IL 60088 | 2006-09-21 |
1639276488 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3001a Sixth Street, Great Lakes, IL 60088-5230 | 2006-09-20 |
1972524882 | Andrew Joseph Blazsanyik | Psychologist | 3001a Sixth Street, Naval Health Center 9th Floor, Great Lakes, IL 60088-5230 | 2006-07-23 |
1376591909 | Stuart R Kortebein | Orthopaedic Surgery | 3001a Sixth Street, Great Lakes, IL 60088-5230 | 2006-05-05 |
1528027935 | Jimi Michelle Doty | Nurse Practitioner | 3001a Sixth Street, Naval Hospital Great Lakes, Great Lakes, IL 60088 | 2006-03-23 |
1053370163 | Bruce Alan Rannin | Dentist | 3001a Sixth Street, Naval Hospital N00211, Great Lakes, IL 60088 | 2006-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
Find all providers in zip 60088 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972598696 | Peter Andrew Morawiecki | Pathology | Naval Health Clinic Great Lakes, Laboratory Dept, 3001 A Sixth St, Great Lakes, IL 60088 | 2005-09-19 |
1609832187 | James Allen Westra | Pathology | 3001 6th St, Buiding 200h Laboratory, Great Lakes, IL 60088-2833 | 2006-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255930145 | Uttamjot Kaur | Pathology | 2650 Ridege Avenue, Evanston Hospital, Chicago, IL 60613-6061 | 2020-10-21 |
1770131831 | Reditus Laboratories | Pathology | 1805 Riverway Dr, Pekin, IL 61554-9309 | 2019-08-30 |
1679137756 | Hans-magne Hansen Hamnvag | Pathology | 2460 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
1497229157 | Almasri Medical LLC | Pathology | 8150 185th St Ste A, Tinley Park, IL 60487-9319 | 2019-01-16 |
1689188062 | Karina Colossi Furlan | Pathology | 1750 W Harrison St Fl 5, Chicago, IL 60612-3825 | 2017-11-21 |
1245753961 | Ayse Irem Kilic | Pathology | 2160 South First Ave., Maywood, IL 60153-3328 | 2017-07-25 |
1073967162 | Lucy Fu | Pathology | 303 East Chicago Avenue Ward 3-140 W127, Chicago, IL 60611-1059 | 2016-04-14 |
1679930457 | Lindsay Alpert | Pathology | 150 Harvester Drive, Suite 300, Burr Ridge, IL 60527-6686 | 2016-01-25 |
1831573898 | Indu Agarwal | Pathology | 2100 Valencia Dr, #314b, Northbrook, IL 60062-7063 | 2015-07-18 |
1053790113 | Lisa Han | Pathology | 5841 S. Maryland Ave., Rm. S323, Mc 3083, Chicago, IL 60637-1470 | 2015-05-22 |
Find all providers with the same taxonomy |
City | GREAT LAKES |
Zip Code | 60088 |
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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.