AELA PAULINE DIANE C VELY (NPI# 1720368145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720368145 |
| Entity Type | Individual |
| Full Name | AELA PAULINE DIANE C VELY |
| Credential | M.D. |
| Practice Address |
305 W Jackson St Ste 302 Carbondale IL 62901 |
| Mailing Address |
Sih Medical Group General Surgery 305 West Jackson St., Suite 302 Carbondale IL 62901-1467 |
| Practice Telephone | 6184573006 |
| Practice Fax Number | 6184573007 |
| Mailing Telephone | 6184573006 |
| Mailing Fax Number | 6184573007 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036.146489 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
036.146489 | IL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036.146489 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Nw 12th Ave, Miami, FL 331361005 | 3055851280 |
| Street Address |
305 W JACKSON ST STE 302 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518998202 | Christopher Taro Hogg | Orthopaedic Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2006-07-05 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1235447368 | Kulsoom Laeeq | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2010-09-23 |
| 1295819381 | Kara Danielle Flatt | Nurse Practitioner | 305 W Jackson St Ste 302, Carbondale, IL 62901-1474 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275709438 | Abigail Kirsten Tarbox | Surgery | 676 N St Claire St, Northwestern Memorial Hospital, Chicago, IL 60611 | 2008-05-07 |
| 1235304551 | Peter Gerard Bendix | Surgery | 5841 S Maryland Ave # 5033, Chicago, IL 60637-1443 | 2008-04-28 |
| 1033258397 | Laurel Ann Omert | Surgery | 9249 Lincolnwood Dr, Evanston, IL 60203-1609 | 2007-02-05 |
| 1295753093 | Carlos Ortega Md Sc | Surgery | 5140 N California Ave Ste 780, Chicago, IL 60625-7066 | 2006-07-18 |
| 1154397495 | Geoffrey Silver | Surgery | 2160 S. First Avenue, Bldg 110, 3rd Floor, Maywood, IL 60153 | 2006-02-27 |
| 1457787475 | Giovanni D. Giannotti Md, S.c. | Surgery | 2222 W Division St, Suite 335, Chicago, IL 60622-2717 | 2013-09-23 |
| 1588956635 | Chadrick Ryan Evans | Surgery | 1001 Main St, Suite 300, Peoria, IL 61606-1907 | 2011-05-09 |
| 1295025534 | Jennifer Turney Cone | Surgery | 5841 S Maryland Ave # Mc5033, Chicago, IL 60637-1443 | 2011-04-07 |
| 1124253935 | Anne M Stey | Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2009-05-22 |
| 1134369630 | Nikunj K. Chokshi | Surgery | 5841 S Maryland Ave, Chicago, IL 60637 | 2009-02-24 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.