DR. KARLA RENEE CHEATHAM BROWN (NPI# 1629228580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629228580 |
| Entity Type | Individual |
| Full Name | DR. KARLA RENEE CHEATHAM BROWN |
| Other Name | KARLA RENEE CHEATHAM |
| Credential | M.D. |
| Practice Address |
110 Sunrise Trl Carbondale IL 62902-7523 |
| Practice Telephone | 6184572249 |
| Mailing Telephone | 6184572249 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
152528 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1557048 | 05 |
| Street Address |
110 SUNRISE TRL |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62902-7523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043471105 | Joan Alice Weber | Developmental Therapist | 110 Sunrise Trl, Carbondale, IL 62902-7523 | 2008-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114200482 | Pamela K. Zeigler | Speech-Language Pathologist | 2880 Wolf Creek Road, Carbondale, IL 62902 | 2011-09-23 |
| 1043504541 | Melanie Wick Singer | Speech-Language Pathologist | 51 Carolyn Drive, #q, Carbondale, IL 62902 | 2011-06-02 |
| 1518286624 | Kaci Moeller | Physical Therapist | 2001e Creekwood, Carbondale, IL 62902 | 2010-05-28 |
| 1417173782 | Debra Lynn Braunling Mcmorrow | Psychologist | 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 | 2007-04-17 |
| 1942352083 | Damaris Miltenberger Language & Learning Center, Ltd | Speech-Language Pathologist | 301 S. Wall St., Suite B, Carbondale, IL 62902 | 2007-01-17 |
| 1013288968 | Jenny Moss Occupational Therapy Services, Inc. | Early Intervention Provider Agency | 7207 Grassy Rd, Carbondale, IL 62902-0465 | 2012-01-24 |
| 1114482734 | Erin Anderson | Occupational Therapy Assistant | 2595 S Wolf Creek Rd, Carbondale, IL 62902-0572 | 2019-02-07 |
| 1679749576 | Gina M. Hill | Student in an Organized Health Care Education/Training Program | 4269 Lager Ln, Carbondale, IL 62902-0970 | 2008-05-01 |
| 1649712829 | Carolyn Fasnacht | Student in an Organized Health Care Education/Training Program | 2775 Skyhawk Rd, Carbondale, IL 62902-1008 | 2016-11-05 |
| 1235627654 | Brandy S Smith | Behavioral Analyst | 136 Premier Ln, Carbondale, IL 62902-4101 | 2018-05-01 |
| Find all providers in zip 62902 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014642 | Sue Kim | Otolaryngology | 3633 W Lake Ave, Suite 300, Glenview, IL 60026-5805 | 2005-09-20 |
| 1356336168 | Carol Gerson | Otolaryngology | 1031 Ashland Ave, River Forest, IL 60305-1435 | 2005-09-19 |
| 1295720159 | Ilana Seligman | Otolaryngology | L000 Central St., Enh Ent Suite 610, Evanston, IL 60201 | 2005-09-16 |
| 1487649315 | Lauren Holinger | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-16 |
| 1730171018 | David L. Walner | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1235556192 | Saied Ghadersohi | Otolaryngology | 225 E Chicago Ave # 25, Chicago, IL 60611-2991 | 2014-03-27 |
| 1275899155 | Jason Ramsey Bell | Otolaryngology | 2160 S 1st Ave, Building 105 Room 1870, Maywood, IL 60153-3328 | 2012-04-05 |
| 1912295379 | Valerie Cote | Otolaryngology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2011-07-19 |
| 1366741548 | Taher Valika | Otolaryngology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-03-27 |
| 1093017626 | Adventist Health Partners, Inc | Otolaryngology | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2010-12-02 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62902 |
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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.