DON A KOVALSKY (NPI# 1700853272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700853272 |
Entity Type | Individual |
Full Name | DON A KOVALSKY |
Credential | M.D. |
Practice Address |
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262 |
Practice Telephone | 6182423778 |
Practice Fax Number | 6182422551 |
Mailing Telephone | 6182423778 |
Mailing Fax Number | 6182422551 |
Enumeration Date | 2006-03-03 |
Last Update Date | 2009-12-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
036105282 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036105282 | 05 |
Street Address |
4121 VETERANS MEMORIAL DR |
City | MOUNT VERNON |
State | IL |
Zip Code | 62864-6262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639146103 | Jean Benoit Houle | Orthopaedic Surgery | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-03-03 |
1073147161 | Hayden Klockenga | Physical Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2020-02-27 |
1689223729 | Braedon Haertling | Physician Assistant | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2019-09-11 |
1669943882 | Orthopaedic Center of Southern Illinois, Ltd. | Durable Medical Equipment & Medical Supplies | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2018-12-16 |
1336680925 | Jamie Smith | Nurse Practitioner | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2017-03-15 |
1629447529 | Crystal Tyson | Occupational Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2015-09-21 |
1093197410 | Melanie Cross | Nurse Practitioner | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2015-06-22 |
1144600669 | Stephanie Schaubert | Physical Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2015-06-01 |
1336412527 | Scott Murfin | Physical Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2012-02-17 |
1144526963 | Devin D Haertling | Physician Assistant | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2011-01-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
Find all providers in zip 62864 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003904434 | Farouq A Al-hamdan | Orthopaedic Surgery | 119 S 14th St, Mount Vernon, WA 98274-4114 | 2006-10-11 |
1891007845 | Spine Science Institute, Inc, PC | Orthopaedic Surgery | 119 S 14th St, Mount Vernon, WA 98274-4114 | 2010-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093213365 | Joint Replacement Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950b, Schaumburg, IL 60173-5834 | 2018-01-31 |
1063920940 | Spine Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950a, Schaumburg, IL 60173-5034 | 2018-01-13 |
1851819221 | Bernard Rerri | Orthopaedic Surgery | 938 M L King Dr, Centralia, IL 62801-3058 | 2017-09-06 |
1932572872 | Egyptian Spine Clinic | Orthopaedic Surgery | 1007 M L King Dr, Centralia, IL 62801-3001 | 2015-10-31 |
1073873675 | Joseph Patrick Brindise | Orthopaedic Surgery | 500 W Golf Rd Ste 101, Schaumburg, IL 60195-3503 | 2012-05-17 |
1861785354 | Prairie Spine & Pain Institute of Southern Illinois, LLC | Orthopaedic Surgery | 1306 N Russell St, Marion, IL 62959-4570 | 2011-05-17 |
1760626717 | Anthony S Rinella M D S C | Orthopaedic Surgery | 12701 W. 143rd Street, Suite 110, Homer Glen, IL 60491-7721 | 2009-04-21 |
1265602965 | Brandy Arnett | Orthopaedic Surgery | 800 Biesterfield Rd Ste 565, Eberle Prof Bldg, Elk Grove, IL 60007-3362 | 2008-03-10 |
1609940972 | Giri T Gireesan | Orthopaedic Surgery | 676 North St Clair St, #1777, Chicago, IL 60611 | 2006-11-20 |
1700981107 | Carl N Graf IIi | Orthopaedic Surgery | 1990 E Algonquin Road, Suite 160, Schaumburg, IL 60173 | 2006-09-13 |
Find all providers with the same taxonomy |
City | MOUNT VERNON |
Zip Code | 62864 |
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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.