MR. DAVID J FLETCHER (NPI# 1639243868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639243868 |
| Entity Type | Individual |
| Full Name | MR. DAVID J FLETCHER |
| Credential | MD MPH FACOEM |
| Practice Address |
1806 N Market St Champaign IL 61822 |
| Practice Telephone | 2173566150 |
| Practice Fax Number | 2173567167 |
| Mailing Telephone | 2173566150 |
| Mailing Fax Number | 2173567167 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036071408 | IL | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
036071408 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | K25107 | 05 | |
| IL | 213008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962691238 | David Andrew Fletcher | Physical Therapist | 65 Old Solomons Island Rd, Ste 104, Annapolis, MD 21401-3841 | 2007-10-23 |
| 1356497895 | David Simpson Fletcher | Chiropractor | 1323 Darlington Ave, Crawfordsville, IN 47933-2006 | 2007-01-26 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1144242348 | David King Fletcher | Pain Medicine | 816 S Fleishel Ave, Tyler, TX 75701-2016 | 2006-07-24 |
| 1306262050 | David Fletcher | Counselor | 607 W 7th St, Appleton, WI 54911-5923 | 2014-03-05 |
| 1548461643 | David Troy Fletcher | Family Medicine | 1550 Eatonton Rd, Madison, GA 30650-4627 | 2007-05-29 |
| 1891743860 | David Fletcher | Emergency Medicine | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-05-04 |
| Street Address |
1806 N MARKET ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558800250 | Mark Mammen | Specialist/Technologist | 1806 N Market St, Champaign, IL 61822-1312 | 2017-02-15 |
| 1639618531 | Karen Caraway | Specialist/Technologist | 1806 N Market St, Champaign, IL 61822-1312 | 2017-02-13 |
| 1750825766 | Millennium Pain Center | Clinic/Center | 1806 N Market St, Champaign, IL 61822-1312 | 2016-12-09 |
| 1265798565 | Alan Koch | Physical Therapist | 1806 N Market St, Champaign, IL 61822-1312 | 2012-04-11 |
| 1578832069 | 217 Rehab & Performance Center | Clinic/Center | 1806 N Market St, Champaign, IL 61822-1312 | 2011-12-29 |
| 1508926684 | David J Fletcher Md LLC | Family Medicine | 1806 N Market St, Champaign, IL 61822 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816466 | Taylor Nicole Rich | Preventive Medicine | 2408 Hampshire Dr Apt 2, Champaign, IL 61820-1215 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720517568 | Avrom Simon | Preventive Medicine | 128 S Aberdeen St Unit 5s, Chicago, IL 60607-1507 | 2017-06-06 |
| 1215332531 | Cheryl Culberson | Preventive Medicine | 350 Surryse Rd Ste 110, Lake Zurich, IL 60047-3217 | 2014-10-29 |
| 1497018493 | Brian Charles Svazas | Preventive Medicine | 211 Kenilworth Ave, Glen Ellyn, IL 60137-5324 | 2012-06-25 |
| 1205129764 | Zbigniev Durlak | Preventive Medicine | 9930 Stratford L, Palos Hills, IL 60465 | 2011-05-17 |
| 1609168657 | New Life Pentecostal Medical Clinic for The Uninsured Inc | Preventive Medicine | 183 N Schuyler Ave, Kankakee, IL 60901-3828 | 2011-05-10 |
| 1821305269 | Daniel Alexander Bakston | Preventive Medicine | 835 S. Wolcott Ave E-144, University of Illinois Medical Center, Chicago, IL 60612-4006 | 2010-09-07 |
| 1194951913 | Sonya Meyers | Preventive Medicine | 835 S Wolcott Ave # E144, Chicago, IL 60612-3748 | 2009-06-08 |
| 1073755021 | Afiz A. Taiwo, Md. Mph. S.c. | Preventive Medicine | 309 Pinehurst Dr, Palos Heights, IL 60463-2911 | 2009-04-06 |
| 1104077494 | William Dawson | Preventive Medicine | 700 Woodmere Ln, Glenview, IL 60025-4469 | 2008-10-04 |
| 1831389816 | Cynthia Ann Ross | Preventive Medicine | 8755 S Harlem Ave, Bridgeview, IL 60455-1905 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
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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.