MARSHALL BLAKE HAY


Address: 611 W. Park St., Radiology, Urbana, IL 61801-2530
Phone: 2173833270

MARSHALL BLAKE HAY (NPI# 1780683391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780683391
Entity Type Individual
Full Name MARSHALL BLAKE HAY
Credential MD
Practice Address 611 W. Park St.
Radiology
Urbana
IL 61801-2530
Mailing Address 611 W. Park St.
Bwpc
Urbana
IL 61801-2500
Practice Telephone 2173833270
Practice Fax Number 2173834116
Mailing Telephone 2173836792
Enumeration Date 2005-07-15
Last Update Date 2016-02-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
036130848 IL Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301061520 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 104363730 05
MI CAQH 11278282 01
MI BC/BS INDIVIDUAL PIN NO MH061520 01
MI RR MDCR INDIVIDUAL PIN NO 300128669 01

Office Location

Street Address 611 W. PARK ST.
RADIOLOGY
City URBANA
State IL
Zip Code 61801-2530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780204685 Kaitlynn Geiger Physical Therapist 611 W. Park St., Fapc, Urbana, IL 61801 2020-04-21
1134758758 Ellen R Leskovisek Nurse Practitioner 611 W. Park St., Urbana, IL 61801 2020-04-06
1568006542 Whitney R Streitmatter Dietitian, Registered 611 W. Park St., Fapc, Urbana, IL 61801 2019-11-01
1174165310 Brett A Fulks Nurse Practitioner 611 W. Park St., Urbana, IL 61801 2019-10-09
1932756194 Carissa Cole Nurse Practitioner 611 W. Park St., Urbana, IL 61801 2019-08-22
1316593221 Xiaoyu Zhang Speech-Language Pathologist 611 W. Park St., Urbana, IL 61801 2019-08-15
1144789264 Hannah Dignan Nurse Practitioner 611 W. Park St., Urbana, IL 61801 2019-03-18
1639644982 Katrina Osana Physical Therapist 611 W. Park St., Urbana, IL 61801 2018-10-12
1033684170 Kourtney L Steinkamp Nurse Practitioner 611 W. Park St., Hvi, Urbana, IL 61801 2018-10-04
1639653538 Hannah Lake-rayburn Advanced Practice Midwife 611 W. Park St., Ob/gyn, Urbana, IL 61801 2018-09-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566084 Avani Sushilkumar Mohta Internal Medicine Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2020-07-29
1922617133 Recovery Concepts Urbana, LLC Clinic/Center 710 W. Killarney St., Urbana, IL 61801 2020-07-24
1447877089 Muhammad Khalid Abbas Internal Medicine 611 W Park St Urbana, Urbana, IL 61801 2020-06-30
1003430166 Conlan Joseph Pierce Surgery 601 W Park St, Urbana, IL 61801 2020-06-04
1568090900 Luke Andrew Fenlon Student in an Organized Health Care Education/Training Program Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 2020-03-31
1912559691 Ali Baltaji Internal Medicine 101 N Busey Apt 7, Urbana, IL 61801 2019-07-12
1821510918 Pallavi Pradeep Internal Medicine Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 2017-07-11
1093236002 Angela Lynn Devaney Speech-Language Pathologist 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 2017-06-29
1346775236 Jennifer Garcia Student in an Organized Health Care Education/Training Program Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2017-04-27
1467992537 Amber Kristine Davis Speech-Language Pathologist 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 2017-03-08
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154536530 Steve C Hong Radiology 611 West Park Street, Ir, Urbana, IL 61801-2500 2007-05-11
1255366761 Sundar Vasudevarao Nilavar Radiology 96 Lookout Ct, Urbana, OH 43078-9414 2006-07-12
1033103197 Suzanne M Hand Radiology 602 W. University Avenue, Radiology, Urbana, IL 61801 2005-09-06
1679866842 Devarshi J Desai Radiology 611 W Park St, Urbana, IL 61801-2529 2011-05-22
1235441635 James Hlubocky Radiology 611 W Park St, Urbana, IL 61801-2529 2010-07-14
1366769945 Bimal Vyas Radiology 611 W Park St, Urbana, IL 61801-2529 2010-04-22
1417127457 April L Dickenson Radiology 611 W. Park St., Radiology, Urbana, IL 61801 2008-03-05
1740478494 Sami Sibai Radiology 611 W. Park St., Urbana, IL 61801-2500 2007-10-09
1275720955 Behrang Khoie Radiology 611 W. Park St., Radiology, Urbana, IL 61801-2500 2007-09-26
1346430667 Scott R. Santeler Radiology 611 W Park St, Interventional Radiology, Urbana, IL 61801-2529 2007-08-01
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City URBANA
Zip Code 61801

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Dataset Information

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.

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