MRS. SARAH ELIZABETH INTRAVAIA (NPI# 1427241504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427241504 |
| Entity Type | Individual |
| Full Name | MRS. SARAH ELIZABETH INTRAVAIA |
| Other Name | MISS SARAH ELIZABETH KELLEY |
| Credential | MT |
| Practice Address |
2401 W Main St Marion IL 62959-1188 |
| Mailing Address |
1503 Davis Ave Johnston City IL 62951-2022 |
| Practice Telephone | 6189975311 |
| Mailing Telephone | 6189835674 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
225215 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2401 W MAIN ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277696 | Keith D Stewart | Dentist | 2401 W Main St, Marion, IL 62959-1188 | 2005-12-22 |
| 1396353397 | John Gilmore | Nurse Practitioner | 2401 W Main St, Marion, IL 62959-1188 | 2020-07-16 |
| 1083230098 | Samantha Ann Kimble | Social Worker | 2401 W Main St, Marion, IL 62959-1188 | 2020-06-25 |
| 1659907954 | Jason Patton | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-03-18 |
| 1275164543 | Edward Staba | Psychologist | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-27 |
| 1497385918 | Megan Berkel | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-23 |
| 1699316521 | Angela Trowbridge | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-10-02 |
| 1891346276 | Donna Householder | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1457902918 | Brenda Frazier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1043861420 | Michelle Collier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017679 | Nicholas M Moore | Spec/Tech, Pathology | 1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833 | 2018-03-20 |
| 1497280291 | Guinevere B Reserva | Spec/Tech, Pathology | 515 Sawmill Ct, Rochester, IL 62563-6057 | 2017-04-29 |
| 1689069189 | Lucas Quinlan | Spec/Tech, Pathology | 2172 County Road 3500 N, Ludlow, IL 60949-6028 | 2015-04-01 |
| 1346591260 | Timothy Leland Toner | Spec/Tech, Pathology | 304 N Dixon St, Rankin, IL 60960-7057 | 2012-10-02 |
| 1518232537 | Dana White | Spec/Tech, Pathology | 27 Bonniebrook Rd, Chatham, IL 62629-1066 | 2012-03-09 |
| 1720378524 | Star Lab, Inc | Spec/Tech, Pathology | 9213 Parklane Ave, Franklin Park, IL 60131-2837 | 2011-04-13 |
| 1942746185 | Marlon Pemberton | Spec/Tech, Pathology | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2017-01-11 |
| 1124413653 | Angelica Hochevar | Spec/Tech, Pathology | 5000 S 5th Ave, Hines, IL 60141-3030 | 2015-04-01 |
| 1093070880 | Marbie Downen | Spec/Tech, Pathology | 801 S West St, Executive Center Suite 123, Olney, IL 62450-1334 | 2012-07-09 |
| 1508139734 | Carlomagno A Ore | Spec/Tech, Pathology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2012-02-19 |
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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.