CONSTANTINE DEAN KATSAMAKIS (NPI# 1407906100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407906100 |
| Entity Type | Individual |
| Full Name | CONSTANTINE DEAN KATSAMAKIS |
| Credential | DO |
| Practice Address |
1000 Health Center Dr Mattoon IL 61938-4644 |
| Mailing Address |
1005 Health Center Dr Ste 201 Mattoon IL 61938-4653 |
| Practice Telephone | 2172384960 |
| Practice Fax Number | 2172384951 |
| Mailing Telephone | 2173423400 |
| Mailing Fax Number | 2172582216 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036107954 | IL | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036107954 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 Waukegan Rd, Glenview, IL 600255126 | 8479047400 | 8479047401 |
| Street Address |
1000 HEALTH CENTER DR |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477004 | Lynn Raoul Dale | Radiology | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2005-09-13 |
| 1003426974 | Vincent P Cagungun | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1457961328 | Amber Leigh Craven | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1861017485 | Gwendolyn Janes | Pharmacist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-06-09 |
| 1194347724 | Erin Smitley | Dietitian, Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-05-18 |
| 1649805623 | Kimberly Sikorski | Nurse Practitioner | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-03-10 |
| 1891329280 | Kiersten Emberton | Hospitalist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-02-25 |
| 1255977468 | Lauren Heaton | Physical Therapist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-11-22 |
| 1295371599 | Molly Dyer | Occupational Therapist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-11-21 |
| 1497305908 | Dana Sautter | Physician Assistant | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| 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 |
|---|---|---|---|---|
| 1063535417 | Jason Trager | Internal Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2007-04-09 |
| 1326060278 | Batlagundu S Lakshminarayanan | Internal Medicine | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
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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.