NES MICHIGAN INC (NPI# 1740794536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740794536 |
Entity Type | Organization |
Organization Name | NES MICHIGAN INC |
Practice Address |
695 N Kellogg St Galesburg IL 61401-2807 |
Mailing Address |
Po Box 936436 Atlanta GA 31193-6436 |
Practice Telephone | 3093438131 |
Enumeration Date | 2017-12-01 |
Last Update Date | 2017-12-01 |
Authorized Official Name | JENNIFER MOORE (CEO) |
Authorized Official Telephone | 4154354591 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184069759 | Nes Michigan Inc | Emergency Medicine | 461 W Huron St, Pontiac, MI 48341-1601 | 2013-05-08 |
Street Address |
695 N KELLOGG ST |
City | GALESBURG |
State | IL |
Zip Code | 61401-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609875145 | Jeffrey Hill | Family Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2005-07-18 |
1992337000 | Sanburg Emergency Group, P.C. | Physician Assistant | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2020-02-06 |
1770037251 | Cynthia Dawn Raya | Nurse Practitioner | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-08-12 |
1316399967 | Clinical Colleagues Inc | Anesthesiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-07-07 |
1801242474 | Hospital Care Consultants of Galesburg, Inc | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-05-12 |
1003285032 | Patricia Ann Rice | Nurse Practitioner | 695 N Kellogg St, Emergency Department, Galesburg, IL 61401-2807 | 2015-09-21 |
1225414667 | Ryan James Bonham | Nurse Anesthetist, Certified Registered | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2015-08-08 |
1295000677 | Syed Moazzam Najeeb | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2012-03-18 |
1154623429 | Comprehensive Emergency Solutions II Sc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2010-11-18 |
1952542193 | Galesburg Professional Services LLC | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2009-03-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
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Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063513893 | Mark A Wiechert | Emergency Medicine | 1707 N Henderson St, Galesburg, IL 61401-1320 | 2006-09-26 |
1154623429 | Comprehensive Emergency Solutions II Sc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2010-11-18 |
1952542193 | Galesburg Professional Services LLC | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2009-03-18 |
1306083209 | Galesburg Hospital Corporation | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2009-01-14 |
1255537924 | Advanced Emergency Specialists Ltd | Emergency Medicine | 695 N Kellogg St, Emergency Dept., Galesburg, IL 61401-2807 | 2007-06-21 |
1316039977 | Justin Hering | Emergency Medicine | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-29 |
1700819133 | Veerasikku Bommiasamy | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-07-09 |
1902848187 | New Century Physicians of Western Illinois, Inc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-06-12 |
1811939234 | Ronald J Wiechert | Emergency Medicine | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2006-06-11 |
1568430767 | Ernest Vesta | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-03-14 |
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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.