ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS (NPI# 1568853018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568853018 |
| Entity Type | Organization |
| Organization Name | ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS |
| Other Organization Name | ST ANTHONY'S AT WATERLOO OB/GYN SPECIALISTS |
| Practice Address |
509 Hamacher St Ste 203 Waterloo IL 62298-1592 |
| Practice Telephone | 6189390575 |
| Practice Fax Number | 6189390577 |
| Mailing Telephone | 6189390575 |
| Mailing Fax Number | 6189390577 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | KENNETH VENUTO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3145257340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony's at Waterloo OB/GYN Specialists | Doing Business As Name - Organization |
| Street Address |
509 HAMACHER ST STE 203 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101532 | Kenneth D Hawn | Pediatrics | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2005-08-12 |
| 1053846816 | Brittney Voyda | Nurse Practitioner | 509 Hamacher St, St # 102, Waterloo, IL 62298-1592 | 2017-04-28 |
| 1851830236 | Samantha Lynn Boman | Physical Therapist | 509 Hamacher St, Suite101, Waterloo, IL 62298-1592 | 2017-02-17 |
| 1346784675 | Associated Physicians Group Ltd | Physician Assistant | 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592 | 2016-12-06 |
| 1912373903 | Aaron P Henry | Physical Therapist | 509 Hamacher St, Ste 101, Waterloo, IL 62298-1592 | 2015-08-13 |
| 1992191951 | Red Bud Regional Clinic Company LLC | Family Medicine | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2015-04-07 |
| 1821489477 | Linda Peck | Specialist/Technologist | 509 Hamacher St, Waterloo, IL 62298-1592 | 2015-02-17 |
| 1053700229 | Kerri Dockins-hall | Physical Therapist | 509 Hamacher St, Ste 101, Waterloo, IL 62298-1592 | 2015-01-12 |
| 1508286477 | Cari Stefani | Nurse Practitioner | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2014-04-18 |
| 1578984563 | Kimberly K Ott | Audiologist | 509 Hamacher St, Suite 205, Waterloo, IL 62298-1592 | 2013-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588082408 | Kelsey Lee Wagner | Obstetrics & Gynecology | 146 W Dale St Ste 102, Waterloo, IA 50703-1901 | 2014-03-29 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1659359909 | Marilyn W Hines | Obstetrics & Gynecology | 3421 W 9th St Ste G4500, Waterloo, IA 50702-5401 | 2006-01-06 |
| 1598763286 | Brett R Richman | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2005-07-07 |
| 1255339925 | Anthony A Onuigbo | Obstetrics & Gynecology | 227 E San Marnan Dr, Ste 1, Waterloo, IA 50702-5829 | 2005-07-07 |
| 1649274382 | Stephanie Skelly | Obstetrics & Gynecology | 723 Station Xing, Waterloo, IL 62298-1886 | 2005-06-10 |
| 1174921787 | Olanike Omotola Alonge-obe | Obstetrics & Gynecology | 3421 W 9th St Ste G4500, Waterloo, IA 50702-5401 | 2014-12-12 |
| 1831484906 | Karla Nyreen Solheim | Obstetrics & Gynecology | 3421 W 9th St, Suite G4500, Waterloo, IA 50702-5401 | 2011-06-16 |
| 1578798906 | Ashima Singla | Obstetrics & Gynecology | 3421 W 9th St, # G 4500, Waterloo, IA 50702-5401 | 2009-05-29 |
| 1750570172 | Mohamad Hamdi | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2007-10-22 |
| Find all providers in WATERLOO | ||||
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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.