COLLIER STEPHENS PACE (NPI# 1417240953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417240953 |
| Entity Type | Individual |
| Full Name | COLLIER STEPHENS PACE |
| Credential | MD |
| Practice Address |
Memorial Medical Center 701 N 1st St Springfield IL 62781-5051 |
| Mailing Address |
Po Box 19653 Springfield IL 62794-9653 |
| Practice Telephone | 2175452588 |
| Mailing Telephone | (804) 828-2755 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 036143109 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall St, Surg: General - Surgery Acc, Richmond, VA 232985051 | 8048287391 | 8048280191 |
| Street Address |
MEMORIAL MEDICAL CENTER 701 N 1ST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437505765 | Patrick Joseph Florido | Internal Medicine | Memorial Medical Center 701 N 1st St, Springfield, IL 62781-0001 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1992187934 | Kelli Levek | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2015-06-26 |
| 1386048502 | Bhadreshkumar R. Mandani | Family Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-10-17 |
| 1801215231 | Robert Matthew Tennill | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-04-14 |
| 1851739684 | Mateusz Serafin | Hospitalist | 701 N 1st St, Springfield, IL 62781 | 2013-06-14 |
| 1538506357 | Sapna Siddharth | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-06-03 |
| 1336586734 | Rakshit Ramanath Shetty | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-05-28 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
| 1568750552 | Raghu Nandan | Plastic Surgery | 1229 E Seminole St Ste 330, Springfield, MO 65804-2227 | 2011-07-12 |
| 1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
| 1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
| 1326259847 | Phillip A Stone Md, PC | Plastic Surgery | 57 Mulberry St, Springfield, MA 01105-1406 | 2007-05-25 |
| 1457461766 | Beth A. Bergman | Plastic Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2006-08-30 |
| 1093734113 | Charles A Loguda | Plastic Surgery | 955 S Springfield Ave, Suite 105 Bldg. A, Springfield, NJ 07081-3570 | 2006-07-19 |
| 1821066192 | Reuben A Bueno Jr. | Plastic Surgery | 747 N Rutledge St Fl 3, Springfield, IL 62702-6700 | 2006-03-10 |
| 1124019807 | Thomas Paul Rak | Plastic Surgery | 415 E Home Rd, Springfield, OH 45503-2708 | 2005-11-02 |
| 1376151258 | Lauren Woldanski | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-07-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
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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.