JACOB DAVID SAMS (NPI# 1730340498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730340498 |
Entity Type | Individual |
Full Name | JACOB DAVID SAMS |
Credential | MD |
Practice Address |
104 Ashland Ave. Mt. Zion IL 62549 |
Mailing Address |
Po Box 9632 Springfield IL 62791-9632 |
Practice Telephone | 2178642665 |
Practice Fax Number | 2178648042 |
Mailing Telephone | 2178642665 |
Mailing Fax Number | 2178648042 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2013-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 036132006 | IL | Allopathic & Osteopathic Physicians |
Street Address |
104 ASHLAND AVE. |
City | MT. ZION |
State | IL |
Zip Code | 62549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336586114 | Decatur Orthopedic Center, LLC | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2013-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427209675 | Charles Howard Stone | Dentist | 108 Ashland Ave., Mt. Zion, IL 62549 | 2008-10-07 |
1154511517 | Donald Nicholas Sullivan | Orthopaedic Surgery | 104 Ashland, Mt Zion, IL 62549 | 2007-07-31 |
1417169681 | Temmen Advanced Eye Care LLC | Optometrist | 1505 W Main, Mt Zion, IL 62549 | 2007-05-03 |
1124160247 | Peter L Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
1568563666 | Russell John Proesel | Dentist | 420 Broadway, Mt Zion, IL 62549 | 2006-09-25 |
1497789572 | Dennis Ryan Vaughn | Podiatrist | 1640 North State Highway 121, Mt. Zion, IL 62549 | 2006-07-11 |
1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
1336284736 | Timothy Delbert Busey | Optometrist | 1505 W Main St, Mt Zion, IL 62549 | 2007-02-21 |
1174665285 | Julia A Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
1609862119 | Dustin Joseph Fink | Specialist/Technologist | 1400 Wildwood Ct, Mount Zion, IL 62549-1001 | 2005-09-21 |
Find all providers in zip 62549 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336586114 | Decatur Orthopedic Center, LLC | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2013-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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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.