MRS. SOLFIA MEDINA SAULOG (NPI# 1437322823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437322823 |
Entity Type | Individual |
Full Name | MRS. SOLFIA MEDINA SAULOG |
Other Name | MRS. SOLFIA MEDINA REYES |
Credential | M.D. |
Practice Address |
1800 E Lake Shore Dr Decatur IL 62521-3810 |
Mailing Address |
4075 Copper Ridge Dr Traverse City MI 49684-7059 |
Practice Telephone | 2174642870 |
Practice Fax Number | 2174641616 |
Mailing Telephone | 8886320543 |
Mailing Fax Number | 2319324204 |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
Street Address |
1800 E LAKE SHORE DR |
City | DECATUR |
State | IL |
Zip Code | 62521-3810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326041229 | St Marys Hospital Sisters of The Third Order of St Francis | General Acute Care Hospital | 1800 E Lake Shore Dr, Decatur, IL 62521 | 2005-05-24 |
1093349912 | Nicholas Halford | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2020-02-29 |
1295368207 | Amanda Durbin | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2020-02-18 |
1194362392 | Cassie Briggs | Nurse Practitioner | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-12-06 |
1093351413 | Megan Leech | Advanced Practice Midwife | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-11-20 |
1992355812 | Gideon Nkrumah | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-09-12 |
1407417181 | Komal J Patel | Dietitian, Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-06-24 |
1760940712 | Emily Ann Foster | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-03-08 |
1477010874 | Jennifer Diann Pieper | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-02-22 |
1760955298 | Hailey Michelle Williams | Dietitian, Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-01-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
Find all providers in zip 62521 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1982910089 | American Family Care, Inc. | General Practice | 2604 Highway 31 S, Decatur, AL 35603-1506 | 2010-08-26 |
1780990200 | James E Posey Jr. | General Practice | 801 Church St Ne, 14, Decatur, AL 35601-2472 | 2010-08-21 |
1790011823 | Fred Louis Stallings | General Practice | 4289 Wyndham Park Dr, Decatur, GA 30034-5463 | 2009-10-23 |
1689867814 | Pamela Gross | General Practice | 219 Missionary Dr, Decatur, GA 30030-3842 | 2007-08-21 |
1760673537 | Alpha Medical Center LLC | General Practice | 619 E College Ave Ste C1, Decatur, GA 30030-5326 | 2007-08-07 |
1073739579 | Nevorn Askari | General Practice | 1836 Second Ave, Decatur, GA 30032-3970 | 2007-04-17 |
1073667127 | Sue Kim Lee | General Practice | 2199 N Decatur Road, Ste 3, Decatur, GA 30033 | 2007-01-23 |
1124013495 | Amina Hassanali | General Practice | 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 | 2005-09-13 |
1366927741 | Song Kang | General Practice | 320 E Central Ave, Decatur, IL 62521-4665 | 2018-10-01 |
Find all providers in DECATUR |
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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.