MEGHANN REID VIZINTOS (NPI# 1629619275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629619275 |
Entity Type | Individual |
Full Name | MEGHANN REID VIZINTOS |
Credential | PA-C |
Practice Address |
1763 Freedom Dr Ste 117 Naperville IL 60563 |
Mailing Address |
1763 Freedom Dr Ste 117 Naperville IL 60563-3553 |
Practice Telephone | 6306879595 |
Mailing Telephone | 6306879595 |
Enumeration Date | 2019-10-04 |
Last Update Date | 2019-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 85007364 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | ILLINOIS PA LICENSE | 85007364 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1763 Freedom Dr Ste 117, Naperville, IL 60563 | 6306879595 | |
4s727 Karns Rd, Naperville, IL 605631506 | 6305777095 |
Street Address |
1763 FREEDOM DR STE 117 |
City | NAPERVILLE |
State | IL |
Zip Code | 60563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104462563 | Emilie Mclain | Nurse Practitioner | 1763 Freedom Dr Ste 117, Naperville, IL 60563-3553 | 2019-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
1386118057 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 263 Shuman Boulevard, Suite 125, Naperville, IL 60563 | 2019-01-16 |
Find all providers in zip 60563 |
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 |
---|---|---|---|---|
1316557770 | Brian Sautter | Physician Assistant | 1125 Wishing Well Ln, Naperville, IL 60564-8782 | 2020-07-31 |
1962026955 | Bridgette Lynn Caquatto | Physician Assistant | 1847 Cranshire Ln, Naperville, IL 60565-6749 | 2020-06-04 |
1588288286 | Megan O'hara | Physician Assistant | 416 E Chicago Ave, Naperville, IL 60540-5408 | 2020-05-29 |
1649831371 | Margaret Grace Rancich | Physician Assistant | 6s651 Millcreek Ln, Naperville, IL 60540-5919 | 2019-06-24 |
1467010884 | Madeline Simon | Physician Assistant | 1720 Frost Ln, Naperville, IL 60564-5165 | 2019-05-31 |
1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
1699259036 | Meraj Baig | Physician Assistant | 1952 Mcdowell Rd #305, Naperville, IL 60563 | 2018-09-21 |
1144718644 | Naperville Health Center, LLC | Physician Assistant | 3416 S Route 59 Ste 108, Naperville, IL 60564-8147 | 2018-04-30 |
1063919348 | Aiman Khan | Physician Assistant | 636 Raymond Dr Ste 107, Naperville, IL 60563-9789 | 2018-04-12 |
1134626534 | Yenna Chin | Physician Assistant | 1460 Bond St Ste 130, Naperville, IL 60563-6510 | 2018-04-11 |
Find all providers in NAPERVILLE |
City | NAPERVILLE |
Zip Code | 60563 |
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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.