DR. STEVEN H. PACKARD (NPI# 1750491395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750491395 |
| Entity Type | Individual |
| Full Name | DR. STEVEN H. PACKARD |
| Credential | M.D. |
| Practice Address |
707 N Logan Ave Danville Polyclinic, Ltd. Danville IL 61832-4360 |
| Practice Telephone | 2174774748 |
| Practice Fax Number | 2174444966 |
| Mailing Telephone | 2174774748 |
| Mailing Fax Number | 2174444966 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036094806 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036094806 | 05 | |
| HEALTH ALLIANCE | 282792 | 01 | |
| IL | BCBS OF ILLINOIS | 036094806 | 01 |
| Street Address |
707 N LOGAN AVE DANVILLE POLYCLINIC, LTD. |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019508 | William J. Bowen | Surgery | 707 N Logan Ave, Danville, IL 61832-4360 | 2005-11-14 |
| 1114531936 | Alexander Kentner | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2020-08-31 |
| 1821637190 | Colena Marie Rathburn | Physician Assistant | 707 N Logan Ave, Danville, IL 61832-4360 | 2020-01-03 |
| 1922560481 | Alyssa S Harrison | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2019-04-03 |
| 1336606102 | Dpc Crna Group, Ltd. | Nurse Anesthetist, Certified Registered | 707 N Logan Ave, Danville, IL 61832-4360 | 2019-02-27 |
| 1083183677 | Sandra E Snyder | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2018-11-13 |
| 1891290839 | Robert Justin Duprey | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2018-03-29 |
| 1356750830 | Uche Frances Allanah | Internal Medicine | 707 N Logan Ave, Danville, IL 61832-4360 | 2014-08-08 |
| 1144646183 | Rachel S Janesky | Nurse Practitioner | 707 N Logan Ave, Danville, IL 61832-4360 | 2014-03-14 |
| 1427353598 | Cheryl A Sullivan | Nurse Practitioner | 707 N Logan Ave, Danville Polyclinic, Ltd., Danville, IL 61832-4360 | 2011-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| 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 |
|---|---|---|---|---|
| 1710008297 | Tyler Joel Beckley | Orthopaedic Surgery | 100 Hospital Ln Ste 300, Danville, IN 46122-2000 | 2007-04-03 |
| 1972695237 | Orthopaedic Indianapolis PC | Orthopaedic Surgery | 252 Meadow Dr, Danville, IN 46122-1416 | 2006-09-28 |
| 1245298678 | Lawrence F Cohen | Orthopaedic Surgery | 150 W Main St, Danville, VA 24541-2823 | 2006-05-03 |
| 1578544912 | John S Mahoney | Orthopaedic Surgery | 109 Bridge Street Suite 300, Danville, VA 24541-1222 | 2005-11-11 |
| 1093718041 | Joseph L Lukins | Orthopaedic Surgery | 333 S 3rd St, Ste B, Danville, KY 40422-2016 | 2005-05-23 |
| 1033614649 | Matthew Rae | Orthopaedic Surgery | 100 N Academy Ave, Danville, PA 17822 | 2018-03-26 |
| 1508392093 | Cassandra Anne Ricketts | Orthopaedic Surgery | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-05-03 |
| 1689106270 | Jordan Nester | Orthopaedic Surgery | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2017-04-01 |
| 1134581200 | Hui Zhang | Orthopaedic Surgery | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2016-03-28 |
| 1518329739 | Matthew Gregory Fanelli | Orthopaedic Surgery | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2016-03-26 |
| Find all providers in DANVILLE | ||||
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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.