PROGRESSIVE HEALTH CARE FOR WOMEN, LTD (NPI# 1831314046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831314046 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE HEALTH CARE FOR WOMEN, LTD |
| Practice Address |
6810 S.r. 162 Ste 100 Maryville IL 62062 |
| Practice Telephone | 6182880060 |
| Practice Fax Number | 6182880062 |
| Mailing Telephone | 6182880060 |
| Mailing Fax Number | 6182880062 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | URSULA L THATCH (PRESIDENT) |
| Authorized Official Telephone | 6182880060 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
36980 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 060-10076 | 01 |
| Street Address |
6810 S.R. 162 STE 100 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164724878 | Norman Arnold Mckinnon Jr. | Obstetrics & Gynecology | 911 Scarlett Oaks Rd, Maryville, TN 37801-7403 | 2010-12-01 |
| 1841209830 | Tracie A Traver | Obstetrics & Gynecology | 250 Cherokee Professional Park, Maryville, TN 37804-5153 | 2006-08-07 |
| 1144491416 | Appalachian Center for Women, PC | Obstetrics & Gynecology | 417 E Lamar Alexander Pkwy, Maryville, TN 37804-5816 | 2008-03-14 |
| 1659423085 | Ursula Louise Thatch | Obstetrics & Gynecology | 6810 State Route 162, Ste 100, Maryville, IL 62062-8501 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
| 1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
| 1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
| 1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
| 1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
| 1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
| 1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
| 1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
| 1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
| Find all providers with the same taxonomy | ||||
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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.