PAUL W. ILES INC. (NPI# 1518284363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518284363 |
| Entity Type | Organization |
| Organization Name | PAUL W. ILES INC. |
| Practice Address |
2200 E Sunshine St Suite 312 Springfield MO 65804-1819 |
| Practice Telephone | 4178811580 |
| Practice Fax Number | 4178817004 |
| Mailing Telephone | 4178811580 |
| Mailing Fax Number | 4178817004 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | DR. PAUL W ILES JR. (PSYCHOLOGIST) |
| Authorized Official Telephone | 4178811580 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1999140683 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 122501848 | 05 | |
| MO | MEDICARE | 122501848 | 01 |
| Street Address |
2200 E SUNSHINE ST SUITE 312 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887854 | Sharol Mcgehee | Psychologist | 2200 E Sunshine St, Suite 302, Springfield, MO 65804-1819 | 2005-11-08 |
| 1417432675 | Kayla Montgomery | Counselor | 2200 E Sunshine St, Springfield, MO 65804-1924 | 2018-10-03 |
| 1063886752 | Terry Vincent Kendrick | Counselor | 2200 E Sunshine St, Suite 203, Springfield, MO 65804-1924 | 2015-11-18 |
| 1023489564 | Charlotte Cook | Social Worker | 2200 E Sunshine St, Suite 215, Springfield, MO 65804-1924 | 2015-10-09 |
| 1457774804 | Alpha Omega Delta LLC | Counselor | 2200 E Sunshine St, Springfield, MO 65804-1924 | 2014-01-21 |
| 1366871212 | Trudi K Carlson | Counselor | 2200 E Sunshine St, Suite 338, Springfield, MO 65804-1924 | 2013-11-01 |
| 1891071601 | Emily D. Wright | Counselor | 2200 E Sunshine St, Springfield, MO 65804-1924 | 2011-10-25 |
| 1386936896 | Maggie M Bell | Counselor | 2200 E Sunshine St, Suite 312, Springfield, MO 65804-1819 | 2011-05-03 |
| 1598069742 | Maggie M. Bell, Inc | Community/Behavioral Health | 2200 E Sunshine St, Suite 312, Springfield, MO 65804-1819 | 2011-01-03 |
| 1972823219 | Regina Ann Goff | Social Worker | 2200 E Sunshine St, Ste 338, Springfield, MO 65804-1819 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1922414846 | Planned Parenthood of Illinois | Clinic/Center | 1000 E. Washington St., Springfield, IL 62703-1048 | 2014-07-11 |
| 1841537966 | Village Family Medicine, LLC | Clinic/Center | 31330 Highway 22, Suite 101, Springfield, LA 70462-7427 | 2013-01-09 |
| 1770868457 | Walgreens Pharmacy #12427 | Clinic/Center | 2305 W Monroe, Springfield, IL 62704 | 2011-10-13 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1356643498 | Medical Necessities Inc | Clinic/Center | 205 5th Ave E, Springfield, TN 37172-2435 | 2010-11-22 |
| 1003124587 | James M. Carmichael, Dc PC | Clinic/Center | 3108 S Fremont Ave, Springfield, MO 65804-4211 | 2010-09-19 |
| 1114231305 | Imaging Miracles Lc | Clinic/Center | 3827 S Timbercreek Ave, Suite B, Springfield, MO 65807-5685 | 2010-07-30 |
| 1174793855 | American Current Care of Massachusetts PC | Clinic/Center | 140 Carando Road, Springfield, MA 01104-3296 | 2008-03-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.