MR. GUY R ABDERHOLDEN (NPI# 1902899792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902899792 |
Entity Type | Individual |
Full Name | MR. GUY R ABDERHOLDEN |
Credential | MD |
Practice Address |
543 Orchard St Antioch IL 60002-3107 |
Practice Telephone | 8473953322 |
Practice Fax Number | 8473950921 |
Mailing Telephone | 8473953322 |
Mailing Fax Number | 8473950921 |
Enumeration Date | 2005-08-26 |
Last Update Date | 2019-12-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 33453020 | WI | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | 036-084853 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 0360848531 | 05 |
Street Address |
543 ORCHARD ST |
City | ANTIOCH |
State | IL |
Zip Code | 60002-3107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538152327 | John J Devaney Jr. | Family Medicine | 543 Orchard St, Antioch, IL 60002-3107 | 2005-08-26 |
1023669298 | Daniel F Werner | Physical Therapist | 543 Orchard St, Antioch, IL 60002-3107 | 2019-09-27 |
1821591397 | Kyle Tomas Miller | Physical Therapist | 543 Orchard St, Antioch, IL 60002-3107 | 2018-03-12 |
1275043093 | Kara M. Sturlini | Nurse Practitioner | 543 Orchard St, Antioch, IL 60002-3107 | 2017-10-06 |
1104340769 | Mallory A. Epping | Physical Therapist | 543 Orchard St, Antioch, IL 60002-3107 | 2017-07-26 |
1184843328 | Elizabeth Soifer | Family Medicine | 543 Orchard St, Antioch, IL 60002-3107 | 2007-04-25 |
1467670901 | Theodore Voss Holroyd | Physician Assistant | 543 Orchard St, Antioch, IL 60002-3107 | 2007-04-22 |
1356426084 | Steven M Colletti | Physical Therapist | 543 Orchard St, Antioch, IL 60002 | 2006-10-25 |
1821173550 | Colletti Physical Therapy Inc. | Physical Therapist | 543 Orchard St, Antioch, IL 60002 | 2006-10-25 |
1528159928 | Jennifer M Fremgen | Physical Therapist | 543 Orchard St, Antioch, IL 60002 | 2006-09-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
Find all providers in zip 60002 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962010520 | Sherene Marsh | Family Medicine | 217 Took Dr, Antioch, TN 37013-1946 | 2020-07-20 |
1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
1487940342 | Howard Friesen Md Inc | Family Medicine | 1130 A St, Antioch, CA 94509-2356 | 2011-06-20 |
1508093816 | Rosalind K. Womack | Family Medicine | 3754 Murfreesboro Pike, Antioch, TN 37013-3878 | 2009-06-12 |
1033343728 | Kimberly Rochelle Collins | Family Medicine | 2711 Murfreesboro Pike Ste 201, Antioch, TN 37013-2000 | 2009-05-08 |
1356555411 | Patricia Louise Eachus | Family Medicine | 7120 S Hampton Dr, Antioch, TN 37013-2260 | 2007-05-09 |
1831260470 | Douglas L Folsom | Family Medicine | 3934 Rocky Point Dr, Antioch, CA 94509-6902 | 2006-11-13 |
1699861559 | Meredith Schweitzer | Family Medicine | 3534 Murfreesboro Pike, Suite 104, Antioch, TN 37013-2583 | 2006-10-05 |
1477655884 | Clark Edward Williams | Family Medicine | 3741 Sunset Lane, Dr Clark E Williams Family and Urgent Care Practice, Antioch, CA 94509 | 2006-09-05 |
1356352306 | Andrew Ness | Family Medicine | 3807 Lone Tree Way, Antioch, CA 94509-6254 | 2006-08-11 |
Find all providers in ANTIOCH |
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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.