DR. PAUL E. HAKES (NPI# 1750315602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750315602 |
| Entity Type | Individual |
| Full Name | DR. PAUL E. HAKES |
| Credential | M.D. |
| Practice Address |
385 S Orange St El Paso IL 61738-1613 |
| Mailing Address |
Po Box 2451 Bloomington IL 61702-2451 |
| Practice Telephone | 3095274900 |
| Practice Fax Number | 3095273525 |
| Mailing Telephone | 3092682172 |
| Mailing Fax Number | 3092683649 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036065214 | IL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036065214 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036065214 | 05 | |
| BLUE CROSS BLUE SHIELD | 5720935 | 01 | |
| BLUE CROSS BLUE SHIELD | 10220308 | 01 |
| Street Address |
385 S ORANGE ST |
| City | EL PASO |
| State | IL |
| Zip Code | 61738-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861919524 | Carle Eureka Hospital | Clinic/Center | 385 S Orange St, El Paso, IL 61738-1613 | 2017-08-24 |
| 1003095167 | Jean-marie Tyner | Nurse Practitioner | 385 S Orange St, El Paso, IL 61738-1613 | 2007-10-25 |
| 1235216060 | Bromenn Physicians Management Corporation | Family Medicine | 385 S Orange St, El Paso, IL 61738-1613 | 2006-11-01 |
| 1962428003 | Kimberly J. Bankston | Nurse Practitioner | 385 S Orange St, El Paso, IL 61738-1613 | 2006-07-14 |
| 1962428128 | Steven C. Ingalsbe | Family Medicine | 385 S Orange St, El Paso, IL 61738-1613 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619052701 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 137 W. Front Street, El Paso, IL 61738 | 2006-10-26 |
| 1053838755 | Tamara Anderson | Speech-Language Pathologist | 250 W 3rd St, El Paso, IL 61738-1034 | 2017-08-24 |
| 1073733523 | El Paso-gridley Cusd #11 | Local Education Agency (LEA) | 97 W 5th St, El Paso, IL 61738-1049 | 2007-04-26 |
| 1568562858 | El Paso Hco LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2006-09-25 |
| 1295374122 | El Paso Hco LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2019-12-23 |
| 1548411705 | Petersen Companies, LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2008-10-07 |
| 1710921465 | Glenn Webster Payton | Chiropractor | 425 W Front St, El Paso, IL 61738-1422 | 2006-06-15 |
| 1538169081 | Daniel Chester Luban | Chiropractor | 455 W Front St, El Paso, IL 61738-1422 | 2005-07-27 |
| 1053951855 | Paige C. Dennis | Nurse Practitioner | 360 W Lincoln St, El Paso, IL 61738-1433 | 2020-01-09 |
| 1164524831 | Abby Jane Mccarthy | Social Worker | 600 S Fayette St Ste 4, El Paso, IL 61738-1478 | 2006-09-02 |
| Find all providers in zip 61738 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1881210599 | Sleep Doctor Pllc | Family Medicine | 840 E Redd Rd Bldg 1a, El Paso, TX 79912-7265 | 2020-06-18 |
| 1801420104 | San Jose Moscati Medical Home | Family Medicine | 1200 Golden Key Cir Ste 230, El Paso, TX 79925-5834 | 2020-02-25 |
| 1346882727 | Joseph William Garcia | Family Medicine | 2812 Granite Rock Dr, El Paso, TX 79938-2731 | 2019-10-17 |
| 1144781709 | Health Management Care Pa | Family Medicine | 9740 Dyer St Ste 111, El Paso, TX 79924-4700 | 2019-03-27 |
| 1346736444 | Rosa Ivelisse Colon | Family Medicine | 6545 Royal Ridge Dr, El Paso, TX 79912-7439 | 2018-07-02 |
| 1417450842 | Eq Medical Pa | Family Medicine | 7812 Gateway Blvd E Ste 230, El Paso, TX 79915-1837 | 2018-03-12 |
| 1841790078 | East El Paso Family Medicine Pa | Family Medicine | 1393 George Dieter Dr Ste D, El Paso, TX 79936-7410 | 2018-02-14 |
| 1255865879 | Dl Ep Enterprises, Inc | Family Medicine | 1325 Montana Ave, El Paso, TX 79902-5538 | 2017-04-20 |
| 1336672468 | Ibiye Owei | Family Medicine | 2000b Transmountain Rd Ste B400, El Paso, TX 79911-3600 | 2017-04-05 |
| Find all providers in EL PASO | ||||
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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.