DR. DAVID H NATHAN


Address: 221 Ne Glen Oak Ave, Radiology Dept, Peoria, IL 61636-0001
Phone: 7654464819

DR. DAVID H NATHAN (NPI# 1831140607) 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) 1831140607
Entity Type Individual
Full Name DR. DAVID H NATHAN
Credential M.D.
Practice Address 221 Ne Glen Oak Ave
Radiology Dept
Peoria
IL 61636-0001
Mailing Address 221 Ne Glen Oak Ave
Peoria
IL 61636-0001
Practice Telephone 7654464819
Mailing Telephone 7654664819
Enumeration Date 2006-05-15
Last Update Date 2019-03-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
036113078 IL Allopathic & Osteopathic Physicians

Other Providers DAVID NATHAN

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1285610972 David Harris Nathan Dermatology 1016 Ponce De Leon Blvd, Suite 7, Clearwater, FL 33756-1073 2005-12-15
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1487717179 David G Nathan Pediatrics 44 Binney St, Suite 1644, Dana Farber Cnacer Institute, Boston, MA 02115-6013 2006-12-18
1578646568 David Nathan Chiropractor 698 E Wetmore Rd, Suite 460, Tucson, AZ 85705-1751 2006-10-23
1578652517 David Lawrence Nathan Psychiatry & Neurology 601 Ewing St, Suite C-10, Princeton, NJ 08540-2757 2006-10-11
1437240223 David Nathan Dentist 3 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1597 2006-09-27
1194731240 David Jay Nathan Specialist 24 S 1100 E, Suite 302, Salt Lake City, UT 84102-1500 2006-07-31
1891748141 David A. Nathan Emergency Medicine 255 W Lancaster Ave, Paoli, PA 19301-1763 2006-05-18
1902887458 David Matthew Nathan Internal Medicine 50 Staniford St, 3rd Floor S50 3, Boston, MA 02114-2517 2005-11-10
1619963998 David Levi Nathan Dermatology 8244 E Us Highway 36, Suite 1220, Avon, IN 46123-9613 2005-09-22

Office Location

Street Address 221 NE GLEN OAK AVE
RADIOLOGY DEPT
City PEORIA
State IL
Zip Code 61636-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851384135 John Alan Howerton Pharmacist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2005-08-23
1437750130 Vanezza Buendia Physical Therapist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-11-08
1306443056 Austyn Powers Nurse Practitioner 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-10-06
1396357091 Christopher Legan Counselor 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-08-24
1417575853 Joseph Babione Psychologist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-07-13
1811512411 Methodist Counselor 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-06-10
1760003230 Alexandra Bryan Dietitian, Registered 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-05-06
1467080523 Dustin Dariusz Pilat Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-5027 2020-04-01
1295363505 Abigail Brea Sebald Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-03-31
1790313054 Elizabeth Alexandra Edwards Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962767376 Aman Deep Singh Psychiatry & Neurology 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 2012-07-11
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1568901544 Stephanie Ann Sullivan Nurse Anesthetist, Certified Registered Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 2017-02-23
1073066155 Caroline Vanaman Counselor 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 2016-07-26
1497141758 Amber Hemminger Registered Nurse 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 2015-04-13
1326288812 Bradley Reatherford Registered Nurse 221 Northeast Ave, Peoria, IL 61636-0001 2009-02-24
1386784155 Eric Hawkins Anesthesiology 22i Ne Glen Oak Ave, Methodist Medical Center Anesthesiology, Peoria, IL 61636-0001 2007-02-08
1386659241 Central Illinois Radiological Associates, Ltd. Radiology Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 2006-07-29
1659345007 Mary C Bruell Social Worker Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-14
1245203280 University of Illinois Psychiatry & Neurology Department of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-09
Find all providers in zip 61636

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
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1932421591 Smi Imaging, LLC Radiology 9125 W Thunderbird Rd, Suite 105, Peoria, AZ 85381-4920 2010-02-24
1972736163 Smi Imaging, LLC Radiology 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 2009-09-03
1184828360 Jane Ho Maksimovic Radiology 2612 W Newman Pkwy, Peoria, IL 61604-2208 2007-06-12
1124030705 Terry M Brady Radiology 411 Hamilton Blvd, 1824, Peoria, IL 61602-1144 2006-08-12
1275543456 Kim V. Arellano-villarreal Radiology 401 Sw Water St, Peoria, IL 61602-1571 2006-08-09
1386659241 Central Illinois Radiological Associates, Ltd. Radiology Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 2006-07-29
1538192828 Central Illinois Radiological Associates, Ltd. Radiology 530 Ne Glen Oak Avenue, Peoria, IL 61637 2006-07-09
1265469399 Brian A Holtan Radiology 31003 N 118th Ln, Peoria, AZ 85383-8240 2006-06-26
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61636

Improve Information

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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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