DR. PRICE P OMONDI (NPI# 1477504488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477504488 |
| Entity Type | Individual |
| Full Name | DR. PRICE P OMONDI |
| Credential | D.O. |
| Practice Address |
1800 E Lake Shore Dr Decatur IL 62521-3810 |
| Mailing Address |
1001 Hollow Valley Ct Caseyville IL 62232-2838 |
| Practice Telephone | 2174642400 |
| Mailing Telephone | 2174031634 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2016-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-100726 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-100726 | IL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 036-100726 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036100726-3 | 05 | |
| MO | 1477504488 | 05 | |
| KY | 7100112980 | 05 | |
| IL | BLUE SHIELD | 036100726 | 01 |
| IL | 036100726-1 | 05 | |
| IL | 036100726-2 | 05 | |
| IL | 036100726-5 | 05 | |
| IN | 200233440 | 05 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1881089993 | Tony Bullon | Emergency Medicine | 1834 Clairmont Rd Ste 100, Decatur, GA 30033 | 2015-04-06 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1427347681 | Constance Shamuyarira Richards | Emergency Medicine | 307 Adair St, Unit F3, Decatur, GA 30030-2958 | 2011-03-28 |
| 1669618310 | Northern Alabama Physicians, LLP | Emergency Medicine | 1201 7th Street Southeast, Decatur, AL 35601-3303 | 2008-12-31 |
| 1215190772 | Stephanie Nicole Scott | Emergency Medicine | 225 Shadowmoor Dr, Decatur, GA 30030-3850 | 2008-07-05 |
| 1639239825 | Michael Anthony Herron | Emergency Medicine | 1501 Richard Stokes Dr, Decatur, GA 30033 | 2006-12-11 |
| 1053412908 | Richard Edward Wild | Emergency Medicine | 1275 Oak Grove Dr, Decatur, GA 30033-2737 | 2006-09-25 |
| 1730283201 | Jerry Edward Robbins II | Emergency Medicine | 2941 Point Mallard Pkwy Se Ste N, Decatur, AL 35603-5760 | 2006-09-12 |
| 1649297656 | Dahlia Hassani | Emergency Medicine | 1010 Scott Blvd, A8, Decatur, GA 30030-1312 | 2006-07-16 |
| 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.