DR. DEBRA BABICH (NPI# 1649215757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649215757 |
| Entity Type | Individual |
| Full Name | DR. DEBRA BABICH |
| Credential | M.D. |
| Practice Address |
304 W Hay St Suite 313 Decatur IL 62526-6328 |
| Practice Telephone | 2178766890 |
| Practice Fax Number | 2178766895 |
| Mailing Telephone | 2178766890 |
| Mailing Fax Number | 2178766895 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | IL | Allopathic & Osteopathic Physicians | |
| X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360999613 | 05 | |
| IL | HEALTHLINK | 435223 | 01 |
| IL | BLUE CROSS | 5832043 | 01 |
| Street Address |
304 W HAY ST SUITE 313 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638072 | M Stephen Huss | Orthopaedic Surgery | 304 W Hay St, Ste 213, Decatur, IL 62526-4169 | 2005-06-09 |
| 1407397284 | Amanda Kierbs | Nurse Practitioner | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2017-03-14 |
| 1881901593 | Ryan Casey Williamson | Specialist/Technologist | 304 W Hay St, Suite 218, Decatur, IL 62526-6328 | 2010-09-02 |
| 1013161538 | Ranjodh Singh | Surgery | 304 W Hay St, Ste 313, Decatur, IL 62526-4167 | 2008-11-11 |
| 1801046958 | Marshall F. Brustein M.d. | Occupational Therapist | 304 W Hay St, Suite 112, Decatur, IL 62526-6328 | 2008-09-25 |
| 1912195595 | Babich Skin Care Center, Inc. | Dermatology | 304 W Hay St, Suite 313, Decatur, IL 62526-6328 | 2007-10-09 |
| 1710172325 | Donald Walter Wendt | Physician Assistant | 304 W Hay St, Ste 111, Decatur, IL 62526-6328 | 2007-09-07 |
| 1922128388 | Decatur Neurological Associates Ltd. | Clinic/Center | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2007-03-30 |
| 1255465951 | M Stephen Huss M.d.,s.c. | Orthopaedic Surgery | 304 W Hay St, Suite 213, Decatur, IL 62526-6328 | 2007-03-15 |
| 1043355480 | Jms Hand Associates, S.c. | Durable Medical Equipment & Medical Supplies | 304 W Hay St, Suite 215, Decatur, IL 62526-6328 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164919403 | Dermdoc Atlanta | Dermatology | 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 | 2018-04-20 |
| 1548649387 | Lakenya Odom | Dermatology | 18004 Anwar Trl, Decatur, GA 30032-7414 | 2015-05-26 |
| 1396916219 | Kathleen Jeanne Smith | Dermatology | 1670 Scott Blvd Ste 202, Decatur, GA 30033-5645 | 2008-03-19 |
| 1467574343 | Novie Sroa | Dermatology | 2000 Ben Merritt Dr Ste B, Decatur, TX 76234-3848 | 2007-04-04 |
| 1942247150 | Samantha S Wyatt | Dermatology | 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 | 2006-05-31 |
| 1649237363 | Joseph Thomas Backe | Dermatology | 1203 Medical Dr Se, Decatur, AL 35601 | 2006-04-27 |
| 1972588648 | James L Reeder Sr. | Dermatology | 1310 Somerville Rd Se, Decatur, AL 35601-4317 | 2005-12-14 |
| 1396735114 | Francis Chaepoong Lee | Dermatology | 606 W Pershing Rd, Suite E, Decatur, IL 62526-1633 | 2005-10-24 |
| 1265436067 | Jere H Weaver | Dermatology | 722 Bank St Ne, Decatur, AL 35601-1610 | 2005-06-09 |
| 1710450838 | Dermdoc Atlanta, LLC. | Dermatology | 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 | 2019-01-11 |
| Find all providers in DECATUR | ||||
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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.