CEP AMERICA - ILLINOIS SNF, LLP (NPI# 1831601376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831601376 |
| Entity Type | Organization |
| Organization Name | CEP AMERICA - ILLINOIS SNF, LLP |
| Practice Address |
2100 Madison Ave Granite City IL 62040-4713 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 6187983128 |
| Mailing Telephone | 5103502680 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | DAVID BIRDSALL (ADMINISTRATIVE VP OF OPERATIONS) |
| Authorized Official Telephone | 5103502680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151112 | Cep America - Illinois Snf, LLP | Internal Medicine | 3523 Wickenhauser Ave, Alton, IL 62002-2118 | 2020-03-27 |
| 1891322467 | Cep America - Illinois Snf, LLP | Internal Medicine | 1623 W Delmar Ave, Godfrey, IL 62035-1317 | 2020-03-24 |
| 1003375270 | Cep America - Illinois Snf, LLP | Internal Medicine | 1 Perryman St, Lebanon, IL 62254-1356 | 2019-03-18 |
| 1104395441 | Cep America - Illinois Snf, LLP | Internal Medicine | 2 Annable Ct, Cahokia, IL 62206-2204 | 2018-11-15 |
| 1215403241 | Cep America - Illinois Snf, LLP | Internal Medicine | 601 W Lincoln Ave, Caseyville, IL 62232-1306 | 2018-10-17 |
| 1003328329 | Cep America - Illinois Snf, LLP | Internal Medicine | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2017-10-26 |
| 1720590045 | Cep America - Illinois Snf, LLP | Internal Medicine | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-10-26 |
| 1295247534 | Cep America - Illinois Snf, LLP | Internal Medicine | 3490 Humbert Rd, Alton, IL 62002-7101 | 2017-10-26 |
| 1942712476 | Cep America - Illinois Snf, LLP | Internal Medicine | 1404 Cross St, Shiloh, IL 62269-2988 | 2017-10-24 |
| 1598277048 | Cep America - Illinois Snf, LLP | Internal Medicine | 4550 Memorial Dr Ste 360, Belleville, IL 62226-5369 | 2017-10-24 |
| Street Address |
2100 MADISON AVE |
| City | GRANITE CITY |
| State | IL |
| Zip Code | 62040-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439640 | Timothy Hipskind | Internal Medicine | 2100 Madison Ave, Granite City, IL 62040-4701 | 2005-06-30 |
| 1720606973 | Lisa Lawrence | Social Worker | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-07-13 |
| 1588283360 | Bridget Burwell | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-04-13 |
| 1457982050 | Steven T Hillmer | Dietitian, Registered | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-02-01 |
| 1366090573 | Donald Lee Clark IIi | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2019-08-30 |
| 1407412752 | Great River Radiology, Inc | Radiology | 2100 Madison Ave, Granite City, IL 62040 | 2019-05-13 |
| 1467977561 | Anna Gilbreth | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-08-09 |
| 1952831893 | Kendall Brennan Knobeloch | Registered Nurse | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-06-13 |
| 1295262459 | Emily Marie Cottrell | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-05-18 |
| 1831630458 | Melissa Lee Bounds | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
| 1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
| 1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
| 1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
| 1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
| 1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
| 1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
| 1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
| 1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| Find all providers in zip 62040 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314839 | Benedict Painter | Internal Medicine | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775038 | Aids Healthcare Foundation | Internal Medicine | 2600 S Michigan Ave # Ll-d, Chicago, IL 60616-2857 | 2020-06-19 |
| 1972152874 | Amanda M Zimmermann | Internal Medicine | 1870 W Winchester Rd Ste 247, Libertyville, IL 60048-5360 | 2019-09-04 |
| 1992213896 | Jennifer Marie Bassler | Internal Medicine | 7804 W College Dr Ste 1n, Palos Heights, IL 60463-1499 | 2018-01-14 |
| 1699201582 | Id Associates Limited | Internal Medicine | 5 Hunt Club Ln, Oak Brook, IL 60523-2328 | 2017-05-11 |
| 1053773044 | Seshank Arimilli | Internal Medicine | 2160 S 1st Ave Bldg 1027609, Maywood, IL 60153-3328 | 2016-03-28 |
| 1265859607 | Alessandra Anna Secco | Internal Medicine | 7900 N Milwaukee Ave Ste 231a, Niles, IL 60714-3247 | 2014-03-24 |
| 1275962672 | Saira Rashida Ajmal | Internal Medicine | 4440 W 95th St Ste 301, Oak Lawn, IL 60453 | 2013-11-06 |
| 1942542519 | Andrew Blatt Thompson | Internal Medicine | 901 Mcclintock Dr Ste 201, Burr Ridge, IL 60527 | 2013-03-21 |
| 1013259779 | Allan Joseph Weinstein | Internal Medicine | 65 E Goethe St, Chicago, IL 60610-2628 | 2013-03-20 |
| 1871832428 | Harvey Kantor | Internal Medicine | 313 Whitmore Ln, Lake Forest, IL 60045-4707 | 2013-02-01 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE CITY |
| Zip Code | 62040 |
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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.