DR. SCOTT W DIVENERE (NPI# 1881677714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881677714 |
| Entity Type | Individual |
| Full Name | DR. SCOTT W DIVENERE |
| Credential | MD |
| Practice Address |
2201 Glenwood Ave Joliet IL 60435-5574 |
| Practice Telephone | 8157251191 |
| Practice Fax Number | 8157252048 |
| Mailing Telephone | 8157251191 |
| Mailing Fax Number | 8157252048 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | CH4890 | 01 |
| Street Address |
2201 GLENWOOD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124599592 | Jessica Arlene Pesavento | Physician Assistant | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2018-12-11 |
| 1336450030 | Parkview Orthopaedic Group S C | Orthopaedic Surgery | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2010-06-28 |
| 1689814188 | Kati Ann Casey | Audiologist | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2009-02-24 |
| 1487804944 | Jamie Ellen Sikora | Audiologist-Hearing Aid Fitter | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2008-09-22 |
| 1386821155 | Jeffry Glenn Lapsker | Dentist | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2008-01-23 |
| 1447434139 | Pmi Diagnostic Imaging LLC | Clinic/Center | 2201 Glenwood Ave, Pmi Diagnostic Imaging, Joliet, IL 60435-5574 | 2007-12-18 |
| 1548442049 | Amanda Diederich | Audiologist | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2007-11-27 |
| 1629286620 | Ent Surgical Consultants | Specialist | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2007-05-21 |
| 1851509830 | Lisa Marie Weberski I | Audiologist | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2007-05-21 |
| 1235345299 | Kristine Eubanks | Audiologist | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871835249 | Kevin Patrick Casey | Otolaryngology | 330 Madison St # 220, Joliet, IL 60435-6565 | 2013-03-22 |
| 1881620177 | Ent Surgical Consultants, Ltd | Otolaryngology | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2006-06-25 |
| 1740220292 | Kenneth Cameron Johnston | Otolaryngology | 3077 W Jefferson St, Suite 206, Joliet, IL 60435-5264 | 2006-06-06 |
| 1093753550 | Ent Surgical Associates | Otolaryngology | 3077 W Jefferson St, Suite 206, Joliet, IL 60435-5262 | 2006-06-04 |
| 1790723799 | Kenneth Paul Jesunas | Otolaryngology | 3077 W Jefferson St, Suite 206, Joliet, IL 60435-5262 | 2006-06-02 |
| 1083697692 | Ankit M Patel | Otolaryngology | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2005-11-29 |
| 1912980574 | Sung J Chung | Otolaryngology | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2005-11-28 |
| 1740263664 | Michael G Gartlan | Otolaryngology | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2005-11-23 |
| 1972586899 | Thomas K Kron | Otolaryngology | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2005-11-23 |
| 1891778718 | Rajeev H Mehta | Otolaryngology | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2005-11-23 |
| Find all providers in JOLIET | ||||
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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.