DR. MARK M ALLENDORPH (NPI# 1922094002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922094002 |
| Entity Type | Individual |
| Full Name | DR. MARK M ALLENDORPH |
| Credential | M.D. |
| Practice Address |
2 Memorial Dr Suite 205 Alton IL 62002-6723 |
| Practice Telephone | 6184655849 |
| Practice Fax Number | 6184655853 |
| Mailing Telephone | 6184655849 |
| Mailing Fax Number | 6184655853 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036072597 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2 MEMORIAL DR SUITE 205 |
| City | ALTON |
| State | IL |
| Zip Code | 62002-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963063 | Ahmad A Karadaghy | Internal Medicine | 2 Memorial Dr, Suite 202, Alton, IL 62002-6723 | 2005-09-21 |
| 1518437672 | Kelsey Marie Browne | Nurse Practitioner | 2 Memorial Dr, Suite 205, Alton, IL 62002-6723 | 2018-12-03 |
| 1093258154 | Msa Alliance, LLC | Surgery | 2 Memorial Dr, Suite 201, Alton, IL 62002-6723 | 2016-11-22 |
| 1083067250 | Arjun Sivaraman | Surgery | 2 Memorial Dr, Ste 205, Alton, IL 62002-6723 | 2016-07-22 |
| 1437523677 | Krista Ludwig | Nurse Practitioner | 2 Memorial Dr, Suite 202, Alton, IL 62002-6723 | 2015-11-28 |
| 1518337815 | Gastroenterology Medical Consultants, P.C. | Specialist | 2 Memorial Dr, Suite 202, Alton, IL 62002-6723 | 2015-09-29 |
| 1700275120 | Megan Bagheri | Nurse Practitioner | 2 Memorial Dr, Ste. 220, Alton, IL 62002-6723 | 2015-01-22 |
| 1487971537 | Lorraine Rosenthal Seiffert | Nurse Practitioner | 2 Memorial Dr, Ste 101, Alton, IL 62002-6723 | 2010-04-29 |
| 1477882454 | Christine Meredith Harlan | Registered Nurse | 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 | 2009-12-21 |
| 1750547352 | Donald William Buck II | Plastic Surgery | 2 Memorial Dr, Ste 101, Alton, IL 62002-6723 | 2008-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1619963063 | Ahmad A Karadaghy | Internal Medicine | 2 Memorial Dr, Suite 202, Alton, IL 62002-6723 | 2005-09-21 |
| 1073505004 | David Robert Riedel | Internal Medicine | 3550 College Ave, Suite B, Alton, IL 62002-5008 | 2005-08-16 |
| 1801902432 | Mark T Klucka | Internal Medicine | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
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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.