MARYVILLE MEDICAL SERVICES, LLC (NPI# 1487047627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487047627 |
| Entity Type | Organization |
| Organization Name | MARYVILLE MEDICAL SERVICES, LLC |
| Practice Address |
2504 Commerce Highland IL 62249-0017 |
| Mailing Address |
Po Box 537 Edwardsville IL 62025-0537 |
| Practice Telephone | 6186519777 |
| Practice Fax Number | 6186513419 |
| Mailing Telephone | 8002107034 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | KEITH A. PAGE (CEO) |
| Authorized Official Telephone | 8669165259 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780614669 | Maryville Medical Services, LLC | Psychologist | 6810 State Route 162, Suite 215, Maryville, IL 62062-8501 | 2006-07-04 |
| Street Address |
2504 COMMERCE |
| City | HIGHLAND |
| State | IL |
| Zip Code | 62249-0017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174565568 | Oscar F Florendo Jr. | Internal Medicine | 2504 Commerce, Highland, IL 62249-0017 | 2006-06-12 |
| 1063454312 | Osbec Medical of Southern Illinois, LLC | Family Medicine | 2504 Commerce, Highland, IL 62249-0017 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
| 1184235335 | Stephanie Ann Pfeffer | Speech-Language Pathologist | 2813 Il-160, Highland, IL 62249 | 2020-08-12 |
| 1205317898 | Nahant Dialysis LLC | Clinic/Center | 2491 Industrial Dr Ste 200, Highland, IL 62249 | 2018-08-22 |
| 1811432180 | Apollo Medical Holdings | Home Health | 188 Woodcrest Dr, Highland, IL 62249 | 2016-12-22 |
| 1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| 1770866428 | 3f Vision LLC | Optometrist | Unit # 1 12603 Il Highway 143, Highland, IL 62249 | 2011-09-20 |
| 1396075305 | Theresa E Howard | Counselor | 3636 Villa Park Drive, Highland, IL 62249 | 2010-01-14 |
| 1710127295 | Eric Bernard Kosel | Dentist | 380 Suppiger Way #3, Highland, IL 62249 | 2009-02-24 |
| 1528206745 | Holley Anne Friesz Heidel | Speech-Language Pathologist | 13 Triland Court, Highland, IL 62249 | 2009-01-26 |
| Find all providers in zip 62249 | ||||
| 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 |
|---|---|---|---|---|
| 1376653352 | Laurence Yung | Emergency Medicine | 2504 Commerce Lane, Highland, IL 62249-1677 | 2006-08-30 |
| 1851395578 | David A Berkenbile | Emergency Medicine | 30 Apex Dr, Suite 2, Highland, IL 62249-1285 | 2005-06-09 |
| 1902394786 | Vituity - Illinois Auc LLP | Emergency Medicine | 12866 Troxler Ave, Highland, IL 62249 | 2018-04-26 |
| 1275032179 | Cepamerica Illinois LLP | Emergency Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2018-02-06 |
| 1245654078 | Infinity-meds LLP | Emergency Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2014-02-14 |
| 1730217233 | Ihc Health Services Inc | Emergency Medicine | 10968 N Alpine Hwy, Highland, UT 84003-8874 | 2007-02-28 |
| 1316053598 | Douglas Carl Spieske | Emergency Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-08-21 |
| 1679597835 | Jin Rian Kim | Emergency Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-07-27 |
| 1902837651 | John Donohoe | Emergency Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-07-05 |
| 1891723227 | James F Bennett | Emergency Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-28 |
| Find all providers in HIGHLAND | ||||
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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.