Passavant Physician Association
Adult Health Nurse Practitioner in Jacksonville, Illinois
NPI 1962689307
Passavant Physician Association is an Adult Health Nurse Practitioner based in Jacksonville, IL and is specialized in Adult Health. Passavant Physician Association practices in Jacksonville, IL. The NPI Number for Passavant Physician Association is 1962689307 and holds a License No. (Illinois).
The current practice location address for Passavant Physician Association is 1600 W Walnut St, Jacksonville, IL and can be reached out via phone at 217-479-5890 and via fax at 217-243-2206.
Location: 1600 W Walnut St, Jacksonville, IL, 62650-1136
Provider Profile Details
NPI Number
1962689307
Provider Name
Passavant Physician Association
Credential
Provider Entity Type
Organization
Address
1600 W Walnut St, Jacksonville, IL, 62650-1136
Phone Number
217-479-5890
Fax Number
217-243-2206
Provider Enumeration Date
01/29/2008
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6932023 | 01 | IL | BCBS |
| DH1383 | 01 | IL | RAILROAD PTAN |
| IL2621 | 01 | IL | 2ND LOCATION MEDICARE PIN # |
Provider Business Practice Location Address Details
Address
1600 W Walnut St
City
State
Zip
62650-1136
Phone Number
217-479-5890
Fax Number
217-243-2206
Provider Business Mailing Address Details
Address
1600 W Walnut St
City
State
Zip
62650-1136
Phone Number
217-479-5890
Fax Number
217-243-2206
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Undersea and Hyperbaric Medicine
Taxonomy
License No.
()
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
036057937 (Illinois)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Provider's Taxonomy Details 7
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
-
Taxonomy
License No.
036048526 (Illinois)
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 9
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
()
Definition
Definition to come...
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