MR. TROY ALAN VANBLARICUM (NPI# 1457440885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457440885 |
| Entity Type | Individual |
| Full Name | MR. TROY ALAN VANBLARICUM |
| Credential | ATC |
| Practice Address |
1303 W Evergreen Ave Effingham IL 62401-1619 |
| Mailing Address |
1146 E Us Highway 50 Noble IL 62868-2407 |
| Practice Telephone | 2173423400 |
| Mailing Telephone | 6188433855 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1303 W EVERGREEN AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220243 | Thomas L. Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2005-10-21 |
| 1851891170 | Luke Ray Zumbahlen | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2018-02-13 |
| 1376051292 | Kayla R Deters | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2018-01-12 |
| 1932648318 | Jennifer Jean Hess | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2017-02-17 |
| 1689074296 | Diana Woltman | Registered Nurse | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2014-09-02 |
| 1942554647 | Andrea G Furlong | Physician Assistant | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-11-01 |
| 1134493042 | Andrew Vannatta | Orthotist | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-02-24 |
| 1003189333 | Kristyn Margaret Rosenkoetter | Physical Therapist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2012-02-16 |
| 1609152735 | Brock Wayne Athey | Physical Therapist | 1303 W Evergreen Ave, Biomax Ste 102, Effingham, IL 62401 | 2011-11-03 |
| 1548558950 | Nickolas A Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2011-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497293161 | Kelsey Cote | Specialist/Technologist | 16 Woodland Way, Effingham, NH 03882-8260 | 2017-02-02 |
| 1689036162 | Darshan Shah | Specialist/Technologist | 440 W Saint Louis Ave, Effingham, IL 62401-2235 | 2016-03-24 |
| 1295121663 | Hayley Cristine Jamerson | Specialist/Technologist | 16790 Fox Ridge Dr, Effingham, IL 62401-5384 | 2015-04-12 |
| 1053657254 | Meagan Zerrusen | Specialist/Technologist | 1106 N Merchant St, Effingham, IL 62401-2128 | 2012-12-17 |
| 1497884134 | Stefani Jane Beverlin | Specialist/Technologist | 912 N Henrietta St, Effingham, IL 62401-1788 | 2007-03-05 |
| 1669573382 | Lisa E Plummer | Specialist/Technologist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2006-09-26 |
| 1093772105 | Chad Hopkins | Specialist/Technologist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2006-05-01 |
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|---|---|---|---|---|
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| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
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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.