EBUN OSAZE (NPI# 1487705471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487705471 |
| Entity Type | Individual |
| Full Name | EBUN OSAZE |
| Credential | PA |
| Practice Address |
311 W. Fairchild Street Family Medicine/convenient Care Danville IL 61832 |
| Mailing Address |
611 W Park St Bwpc Urbana IL 61801-2529 |
| Practice Telephone | 2174317650 |
| Practice Fax Number | 2174317634 |
| Mailing Telephone | 2173836792 |
| Mailing Fax Number | 2173834752 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 85001739 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DMERC | 0533210001 | 01 |
| IL | RAILROAD | P00156941 | 01 |
| Street Address |
311 W. FAIRCHILD STREET FAMILY MEDICINE/CONVENIENT CARE |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243326 | Monique Maria Howard | Pediatrics | 311 W. Fairchild Street, Danville, IL 61832-3803 | 2005-05-24 |
| 1184750135 | Mari Roberts | Social Worker | 311 W. Fairchild Street, Pschiatry/psychology, Danville, IL 61832 | 2007-02-26 |
| 1194860718 | Karen A Schildt | Nurse Practitioner | 311 W. Fairchild Street, Obstetrics/gynecology, Danville, IL 61832 | 2007-02-21 |
| 1417008582 | Debora L O'brien | Physician Assistant | 311 W. Fairchild Street, Adult Medicine, Danville, IL 61832 | 2007-01-16 |
| 1487705687 | Darla L. O'shaughnessy | Nurse Practitioner | 311 W. Fairchild Street, Adult Medicine, Danville, IL 61832 | 2007-01-15 |
| 1003994385 | Janis Ostiguy | Nurse Practitioner | 311 W. Fairchild Street, Family Medicine/convenient Care, Danville, IL 61832 | 2006-11-02 |
| 1942387691 | Cheryl Kienast | Nurse Practitioner | 311 W. Fairchild Street, Adult Medicine, Danville, IL 61832 | 2006-11-01 |
| 1982629051 | Thomas Herrmann | Psychiatry & Neurology | 311 W. Fairchild Street, Psychiatry/psychology, Danville, IL 61832-3874 | 2006-07-12 |
| 1801821558 | James E Deboer | Family Medicine | 311 W. Fairchild Street, Family Medicine/convenient Care, Danville, IL 61832 | 2006-07-11 |
| 1588696785 | Thomas J Halloran | Internal Medicine | 311 W. Fairchild Street, Adult Medicine, Danville, IL 61832 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747959 | Michelle Turner | Physician Assistant | 1095 N County Road 300 E, Danville, IN 46122-8651 | 2020-07-08 |
| 1427681535 | Ann Humphrey | Physician Assistant | 30 Windward Dr, Danville, CA 94526-2341 | 2020-02-17 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1164086948 | Matthew Hartman | Physician Assistant | 215 Kaitlyn Ln, Danville, CA 94506-4717 | 2019-04-26 |
| 1902370844 | Lindsay Simmons | Physician Assistant | 167 Maddox Rd, Danville, AL 35619-6535 | 2019-01-14 |
| 1174007165 | Caroline Federighi | Physician Assistant | 1320 El Capitan Dr Ste 200, Danville, CA 94526-6260 | 2018-09-17 |
| 1487136446 | Mayura Raghavan | Physician Assistant | 221 Marigold St, Danville, CA 94506-4760 | 2018-09-05 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1154762748 | Justin B Cecil | Physician Assistant | 236 W Main St Ste 202, Danville, KY 40422-1876 | 2013-07-11 |
| Find all providers in DANVILLE | ||||
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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.