ILLINI MEDICAL ASSOCIATES SC (NPI# 1932234622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932234622 |
| Entity Type | Organization |
| Organization Name | ILLINI MEDICAL ASSOCIATES SC |
| Practice Address |
523 S Main St Carrollton IL 62016-1251 |
| Mailing Address |
390 Maple Summit Rd Jerseyville IL 62052-2000 |
| Practice Telephone | 2173483326 |
| Practice Fax Number | 2179429833 |
| Mailing Telephone | 6184987518 |
| Mailing Fax Number | 6184983052 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | MICHAEL S MCNEAR (CEO) |
| Authorized Official Telephone | 6184987518 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF ILLINOIS | 4215006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528196581 | Illini Medical Associates Sc | Otolaryngology | 4325 Alby St, Suite 204, Alton, IL 62002-5914 | 2007-03-01 |
| 1124153804 | Illini Medical Associates Sc | Family Medicine | 106 South Water St, Hardin, IL 62047-0106 | 2007-02-22 |
| 1194853069 | Illini Medical Associates Sc | Psychiatry & Neurology | 815 E 5th St, Suite 205, Alton, IL 62002-6471 | 2007-03-01 |
| 1336277573 | Illini Medical Associates Sc | Obstetrics & Gynecology | 2 Saint Anthonys Way, Alton, IL 62002-4569 | 2007-03-01 |
| 1841325537 | Illini Medical Associates Sc | Family Medicine | 103 Mccausland St, Carlinville, IL 62626-9133 | 2007-02-22 |
| 1467587154 | Illini Medical Associates Sc | Family Medicine | 205 S 3rd St, Girard, IL 62640-1547 | 2007-02-22 |
| 1013965698 | Illini Medical Associates Sc | Clinic/Center | 390 Maple Summit Rd, Jerseyville, IL 62052-2000 | 2006-05-05 |
| Street Address |
523 S MAIN ST |
| City | CARROLLTON |
| State | IL |
| Zip Code | 62016-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477092427 | Allison N Sagez | Nurse Practitioner | 523 S Main St, Carrollton, IL 62016-1256 | 2017-02-22 |
| 1689079642 | Jersey Community Hospital | Clinic/Center | 523 S Main St, Carrollton, IL 62016-1256 | 2014-11-03 |
| 1427270941 | James Uhles | Pediatrics | 523 S Main St, Carrollton, IL 62016-1251 | 2007-05-03 |
| 1487877130 | Jonnelle D Smith | Emergency Medicine | 523 S Main St, Carrollton, IL 62016-1256 | 2007-04-11 |
| 1619934304 | Michael S Mcnear | Family Medicine | 523 S Main St, Carrollton, IL 62016-1251 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209972 | Dee Anna Darr | Speech-Language Pathologist | 109 2nd St, Carrollton, IL 62016 | 2006-08-30 |
| 1023125283 | Lisa A Hart | Chiropractor | 307 6th St, Carrollton, IL 62016 | 2006-08-24 |
| 1972536761 | R Scott Beavers | Dentist | 403 Locust, Carrollton, IL 62016 | 2006-07-08 |
| 1568557593 | Pharmacy Plus Inc | Pharmacy | 508 N Main St, Carrollton, IL 62016-1027 | 2006-10-04 |
| 1912319039 | Ethan Ridenour | Occupational Therapy Assistant | 320 4th Street, Carrollton, IL 62016-1135 | 2014-05-22 |
| 1700148194 | Hamel Chiropractic Clinic LLC | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-12 |
| 1184986754 | Justin Kyle Hamel | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-11 |
| 1275779415 | All Hart Chiropractic Inc | Clinic/Center | 307 6th St, Carrollton, IL 62016-1247 | 2008-12-17 |
| 1891166989 | Alexander Beavers | Dentist | 403 Locust St, Carrollton, IL 62016-1304 | 2015-10-14 |
| 1225038169 | County of Greene | Home Health | 310 5th St, Carrollton, IL 62016-1325 | 2005-07-21 |
| Find all providers in zip 62016 | ||||
| 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 |
|---|---|---|---|---|
| 1417428772 | Bowdon-mt Zion Primary Health Center Inc. | Family Medicine | 4248 Mount Zion Rd, Carrollton, GA 30117-7602 | 2018-12-16 |
| 1841761533 | Sewell Family Medicine and Urgent Care, P.C. | Family Medicine | 928 S Park St Ste H, Carrollton, GA 30117-4501 | 2018-12-06 |
| 1922515048 | Carrollton Primary Care Medicine Pllc | Family Medicine | 1809 Golden Trail Ct Ste 240, Carrollton, TX 75010-4667 | 2018-01-10 |
| 1598276610 | Healthpros Medical Center, Pllc | Family Medicine | 2548 Tarpley Rd, Carrollton, TX 75006-2328 | 2017-10-16 |
| 1912417858 | Akenjem Ebong Mba | Family Medicine | 1902 Country Club Dr Ste 160, Carrollton, TX 75006-5823 | 2017-10-05 |
| 1265783815 | Nirav A Patel | Family Medicine | 2761 E Trinity Mills Rd Ste 100, Carrollton, TX 75006-3507 | 2012-09-23 |
| 1275880163 | Lezlie Miller | Family Medicine | 3032 E Hebron Pkwy Ste 101, Carrollton, TX 75010-4465 | 2012-08-09 |
| 1265796049 | Carl R Fry | Family Medicine | 1020 Trump Rd Nw Ste 4, Carrollton, OH 44615-8423 | 2012-06-27 |
| 1679869317 | Harveer Singh Parmar | Family Medicine | 1212 N Josey Ln Ste 110, Carrollton, TX 75006-6103 | 2011-06-21 |
| 1215160197 | Jose P Parcon M D S C | Family Medicine | 727 9th St, Carrollton, IL 62016-1427 | 2009-08-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 62016 |
Please comment or provide details below to improve the information on ILLINI MEDICAL ASSOCIATES SC.
| 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.