DR. SAM JOSEPH BRANCATO (NPI# 1477712040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477712040 |
| Entity Type | Individual |
| Full Name | DR. SAM JOSEPH BRANCATO |
| Credential | M.D. |
| Practice Address |
455 W Court St Ste 403 Kankakee IL 60901-3695 |
| Mailing Address |
8851 Center Dr Ste 208 La Mesa CA 91942-3189 |
| Practice Telephone | 8159393190 |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | C157659 | CA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 284371 | NY | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | MD-43528 | IA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD042437 | DC | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | D75794 | MD | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 036130870 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8851 Center Dr Ste 208, La Mesa, CA 919423189 | 6192074782 | |
| 200 Hawkins Dr, Dept of Urology, Iowa City, IA 522421009 | 3193562421 | 3193563900 |
| Street Address |
455 W COURT ST STE 403 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194015503 | April Adams Szafran | Urology | 375 N Wall St Ste P610, Kankakee, IL 60901-3494 | 2011-04-19 |
| 1891100889 | Safi Mohammed | Urology | 375 N Wall St Ste P610, Kankakee, IL 60901-3494 | 2014-06-27 |
| 1275836728 | Joseph B. Pigato, Ltd | Urology | 455 W Court St, Suite 201, Kankakee, IL 60901-3679 | 2010-12-06 |
| 1356437578 | Urological Surgeons of Illinois, Ltd | Urology | 375 N Wall St, Suite P530, Kankakee, IL 60901-3483 | 2006-10-05 |
| 1902904014 | Bipin N. Bhayani M.d.,s.c. | Urology | 455 W Court St, Suite #403, Kankakee, IL 60901-3679 | 2006-09-20 |
| 1083634570 | Bipinchandra N Bhayani | Urology | 455 W Court St, Suite #403, Kankakee, IL 60901-3679 | 2006-07-20 |
| 1801829247 | Joseph Benedict Pigato | Urology | 455 W Court St, Suite 403, Kankakee, IL 60901-3679 | 2006-07-09 |
| 1952392557 | Edward Kent Frye | Urology | 455 W Court St, Ste 403, Kankakee, IL 60901-3679 | 2005-11-02 |
| 1063403665 | Joel N Slutsky | Urology | 375 N Wall St, Ste P530, Kankakee, IL 60901-3483 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SAM JOSEPH BRANCATO.
| 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.