MEDCORE DIAGNOSTICS LLC (NPI# 1811515984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811515984 |
| Entity Type | Organization |
| Organization Name | MEDCORE DIAGNOSTICS LLC |
| Practice Address |
3333 W Deyoung St Marion IL 62959-5884 |
| Mailing Address |
2020 Babcock Rd Ste 30 San Antonio TX 78229-4451 |
| Practice Telephone | 6189987332 |
| Mailing Telephone | 2104970445 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | AAMIR EHSAN (PRESIDENT) |
| Authorized Official Telephone | 2106174445 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
3333 W DEYOUNG ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007533 | New Century Physicians of Southern Illinois Inc | Emergency Medicine | 3333 W Deyoung St, Marion, IL 62959-5884 | 2005-07-15 |
| 1538774898 | Russell Craig Arendt | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-09-14 |
| 1942826540 | Joseph Michael Logan Oldani | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-06-19 |
| 1326662891 | Medcore Associates, Pllc | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-06-01 |
| 1235779125 | Jacob Ivey | Pharmacist | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-01-08 |
| 1528627833 | Gregory Scott Clark | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2019-06-10 |
| 1194297879 | Jessica Hays | Nurse Practitioner | 3333 W Deyoung St, Marion, IL 62959-5884 | 2018-12-19 |
| 1598240145 | Amy Jo Blandford | Nurse Practitioner | 3333 W Deyoung St, Marion, IL 62959-5884 | 2018-09-29 |
| 1306322136 | Joshua Richardson | Registered Nurse | 3333 W Deyoung St, Marion, IL 62959-5884 | 2018-07-15 |
| 1518478122 | Gopath Pathology Group, LLC | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2017-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848601 | David Timothy Rice | Pathology | 1128 Snider St, Marion, VA 24354-4216 | 2005-06-01 |
| 1518478122 | Gopath Pathology Group, LLC | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2017-10-23 |
| 1821259839 | Dean B. Ricks, Md PC | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2008-06-23 |
| 1407047913 | Karna Del Colby | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2007-08-08 |
| 1043439011 | Susan J Rogers | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2007-04-25 |
| 1508910738 | Dean B Ricks | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2007-01-23 |
| 1063512598 | Kenneth Edward Gallagher | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2006-09-24 |
| 1417967407 | Hugh Kenneth Lancaster Jr. | Pathology | 2401 W Main St, Pathology (113), Marion, IL 62959-1188 | 2006-08-09 |
| 1588685481 | Rulong Ren | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2006-07-23 |
| 1457385965 | Niranjan T Shah | Pathology | 1050 Delaware Ave, Marion, OH 43302-6416 | 2006-07-10 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on MEDCORE DIAGNOSTICS LLC.
| 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.