DR. ELSY A DEVASSY (NPI# 1417950783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417950783 |
| Entity Type | Individual |
| Full Name | DR. ELSY A DEVASSY |
| Credential | M.D. |
| Practice Address |
16612 W 159th St Suite 204 Lockport IL 60441-8006 |
| Practice Telephone | 8155883900 |
| Practice Fax Number | 8155881414 |
| Mailing Telephone | 8155883900 |
| Mailing Fax Number | 8155881414 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2014-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036063297 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036063297 | 05 |
| Street Address |
16612 W 159TH ST SUITE 204 |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-8006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407016744 | Family Eyecare of Lockport Inc. | Optometrist | 16612 W 159th St, Suite 200, Lockport, IL 60441-8006 | 2008-06-10 |
| 1306039748 | E A Devassy Md and Associates Sc | Psychiatry & Neurology | 16612 W 159th St, Suite 204, Lockport, IL 60441-8006 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457876187 | Jessica Martin | Specialist | 4429 Lake Ave, Lockport, NY 14094-1198 | 2017-08-03 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1740653757 | Rachel Lynne Case | Specialist | 4299 Purdy Rd, Lockport, NY 14094-1033 | 2015-11-12 |
| 1437527942 | Jennifer Laspada | Specialist | 5685 Stone Rd, Lockport, NY 14094-1211 | 2015-09-14 |
| 1063835940 | Midwest Hand Surgery Sc | Specialist | 16618 W 159th St, Suite 400, Lockport, IL 60441-8010 | 2014-01-28 |
| 1487994968 | Jaime D Aldridge | Specialist | 373 Davison Rd, Lockport, NY 14094-4020 | 2013-02-21 |
| 1831440031 | Michele Senay | Specialist | 6393 Erna Dr, Lockport, NY 14094-6521 | 2012-09-27 |
| 1003165036 | Jacqueline Marie Barber Kearney | Specialist | 5388 Leete Rd, Lockport, NY 14094-1206 | 2012-09-06 |
| 1578828901 | Jaclyn Clare | Specialist | 224 Branch St, Lockport, NY 14094-8938 | 2012-07-11 |
| 1083977102 | Rebecca E Breezee | Specialist | 7007 Ridge Rd, Lockport, NY 14094-9419 | 2012-06-22 |
| Find all providers in LOCKPORT | ||||
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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.