DR. KENNETH TUAN (NPI# 1477520955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477520955 |
| Entity Type | Individual |
| Full Name | DR. KENNETH TUAN |
| Credential | M.D. |
| Practice Address |
304 W Hay St Suite 218 Decatur IL 62526-6328 |
| Practice Telephone | 2178772088 |
| Practice Fax Number | 2178773622 |
| Mailing Telephone | 2178772088 |
| Mailing Fax Number | 2178773622 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2010-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036109943 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036109943 | 05 |
| Street Address |
304 W HAY ST SUITE 218 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638072 | M Stephen Huss | Orthopaedic Surgery | 304 W Hay St, Ste 213, Decatur, IL 62526-4169 | 2005-06-09 |
| 1407397284 | Amanda Kierbs | Nurse Practitioner | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2017-03-14 |
| 1881901593 | Ryan Casey Williamson | Specialist/Technologist | 304 W Hay St, Suite 218, Decatur, IL 62526-6328 | 2010-09-02 |
| 1013161538 | Ranjodh Singh | Surgery | 304 W Hay St, Ste 313, Decatur, IL 62526-4167 | 2008-11-11 |
| 1801046958 | Marshall F. Brustein M.d. | Occupational Therapist | 304 W Hay St, Suite 112, Decatur, IL 62526-6328 | 2008-09-25 |
| 1912195595 | Babich Skin Care Center, Inc. | Dermatology | 304 W Hay St, Suite 313, Decatur, IL 62526-6328 | 2007-10-09 |
| 1710172325 | Donald Walter Wendt | Physician Assistant | 304 W Hay St, Ste 111, Decatur, IL 62526-6328 | 2007-09-07 |
| 1922128388 | Decatur Neurological Associates Ltd. | Clinic/Center | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2007-03-30 |
| 1255465951 | M Stephen Huss M.d.,s.c. | Orthopaedic Surgery | 304 W Hay St, Suite 213, Decatur, IL 62526-6328 | 2007-03-15 |
| 1043355480 | Jms Hand Associates, S.c. | Durable Medical Equipment & Medical Supplies | 304 W Hay St, Suite 215, Decatur, IL 62526-6328 | 2007-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841633187 | Justin David Hallock | Orthopaedic Surgery | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2013-04-16 |
| 1306102264 | George Keith Gill | Orthopaedic Surgery | 1000 Medical Center Dr, Decatur, TX 76234-3834 | 2012-04-05 |
| 1457495616 | Alliance Orthopaedics & Sports Medicine, PC | Orthopaedic Surgery | 5040 Snapfinger Woods Dr, Suite 206, Decatur, GA 30035-4020 | 2007-02-19 |
| 1033228796 | Thomas Paul Branch | Orthopaedic Surgery | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-08-29 |
| 1720197486 | Robert Edward Karsch | Orthopaedic Surgery | 2675 N Decatur Rd, Suite 404a, Decatur, GA 30033-6131 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
| 1609041565 | Sheryl Lynn Lipnick | Orthopaedic Surgery | 1585 N. Barrington Rd Ste 101, Drs. Bldg. 2, Hoffman Estates, IL 60169-5019 | 2008-04-22 |
| 1295937555 | Gregory Lamar Primus | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2007-05-31 |
| 1154454635 | Benjamin Domb | Orthopaedic Surgery | 999 E Touhy Ave Ste 450, Des Plaines, IL 60018-2748 | 2007-03-13 |
| 1518981612 | Sean Daniel Odell | Orthopaedic Surgery | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2006-07-26 |
| 1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
| 1639146103 | Jean Benoit Houle | Orthopaedic Surgery | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-03-03 |
| 1093792277 | Scott Eric Urch | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2005-12-28 |
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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.