DAVID J FLANDERS (NPI# 1396783510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396783510 |
| Entity Type | Individual |
| Full Name | DAVID J FLANDERS |
| Credential | M.D. |
| Practice Address |
1320 W Bird Blvd Peoria IL 61615-1406 |
| Mailing Address |
6446 N Jamestown Rd Peoria IL 61615-2606 |
| Practice Telephone | 3093600189 |
| Mailing Telephone | 3093600189 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036068713 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360687131 | 05 | |
| IL | RAILROAD MEDICARE | 220011118 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699228122 | David Flanders | Dentist | Us Dental Activity Bavaria, Gebaude 316 Rose Barracks,suedlager, Vileck, GERMANY 92249 | 2016-08-02 |
| 1720578842 | David Flanders | Behavior Technician | 515 S 700 E, Salt Lake City, UT 84102-2801 | 2018-05-14 |
| Street Address |
1320 W BIRD BLVD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
|---|---|---|---|---|
| 1821342973 | Roger William Geiss | Pathology | 1 Illini Dr, Department of Pathology, Peoria, IL 61605-2576 | 2012-10-27 |
| 1154647055 | Michael Dennis Lunt | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-04-16 |
| 1780819037 | Julia Anne Adams | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61603-4310 | 2009-05-15 |
| 1285890129 | Katherine Ann Kasper | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2008-07-30 |
| 1528222965 | Wei Liu | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61636-1182 | 2008-07-15 |
| 1033373311 | Andrew Brian Armstrong | Pathology | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2008-07-15 |
| 1154580447 | Pamela Pineda Goodell | Pathology | 221 Ne Glen Oak Ave, Department of Pathology, Peoria, IL 61636-0001 | 2008-06-03 |
| 1245255652 | Ronald Winek | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-07-13 |
| 1326063728 | Galen Kessler | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-07-13 |
| 1225053754 | Michael P Hayes | Pathology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-07-13 |
| Find all providers in PEORIA | ||||
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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.