CA GROUP, LLC (NPI# 1376857656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376857656 |
| Entity Type | Organization |
| Organization Name | CA GROUP, LLC |
| Practice Address |
4550 Memorial Dr Ste 310 Belleville IL 62226-5372 |
| Mailing Address |
4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 |
| Practice Telephone | 6182576112 |
| Practice Fax Number | 6182576143 |
| Mailing Telephone | 6182574644 |
| Mailing Fax Number | 6182576946 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | LISA K MCDONALD (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6182574644 |
| Is Organization Subpart | Y |
| Parent Organization Name | CA GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 |
| 1356632186 | Ca Group, LLC | Internal Medicine | 4600 Memorial Drive, Suite W-1, Belleville, IL 62226 | 2011-04-27 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CA GROUP, LLC | 410 William Ave S, Renton, WA 98057 |
| Street Address |
4550 MEMORIAL DR STE 310 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055961 | Lawrence Mcclinton | Physician Assistant | 4550 Memorial Dr, Ste. 280, Belleville, IL 62226-5372 | 2005-06-30 |
| 1902273717 | Tammi Lynn Jones | Nurse Practitioner | 4550 Memorial Dr, Suite 360, Belleville, IL 62226-5372 | 2015-08-27 |
| 1235474057 | Memorial Medical Group, LLC | Anesthesiology | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2012-12-05 |
| 1013265248 | Deanna L. Rodenberg | Registered Nurse | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2012-08-20 |
| 1699061259 | Oa Associated LLC | Specialist/Technologist | 4550 Memorial Dr, Moc-1, Suite G-100, Belleville, IL 62226-5372 | 2011-06-22 |
| 1619260932 | Dori Hunt | Nurse Practitioner | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2011-05-19 |
| 1821302118 | Pc Associates, LLC | Hospitalist | 4550 Memorial Dr, Suite 340, Belleville, IL 62226-5372 | 2010-07-29 |
| 1386958668 | Pc Associates, LLC | Family Medicine | 4550 Memorial Dr, Ste 180, Belleville, IL 62226-5372 | 2010-07-29 |
| 1649584921 | Ca Group LLC | Internal Medicine | 4550 Memorial Dr, Suite 320, Belleville, IL 62226-5372 | 2010-07-29 |
| 1295049666 | Msa Alliance, LLC | Urology | 4550 Memorial Dr, Ste 350, Belleville, IL 62226-5372 | 2010-07-28 |
| 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 |
Please comment or provide details below to improve the information on CA GROUP, LLC.
| 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.