DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1952304412

NPI Code Detail

MEDICARE: MARSHALL CLINIC EFFINGHAM, S.C.

MEDICARE: MARSHALL CLINIC EFFINGHAM, S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	036095601	IL
2	207N00000X	Dermatology Physician	036099940	IL
3	208000000X	Pediatrics Physician	036089116	IL
4	207Q00000X	Family Medicine Physician	036084841	IL
5	207R00000X	Internal Medicine Physician	036108589	IL
6	208000000X	Pediatrics Physician	036103305	IL
7	208000000X	Pediatrics Physician	036094764	IL
8	207Q00000X	Family Medicine Physician	036112996	IL
9	207R00000X	Internal Medicine Physician	036089116	IL
10	207R00000X	Internal Medicine Physician	036094764	IL
11	207R00000X	Internal Medicine Physician	036103305	IL
12	207Q00000X	Family Medicine Physician	036085448	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CK1050	OTHER	IL	RAILROAD MEDICARE
4	0881270001	OTHER	IL	DME MAC, MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	14D0902430	OTHER	IL	CLIA
3	2523659	OTHER	IL	BC/BS GROUP PROVIDER #

General Provider Information

NPI Number	:	1952304412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALL CLINIC EFFINGHAM, S.C.

Provider Business Mailing Address
First Line	:	300 N MAPLE ST
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-2003
Country	:	US
Telephone Number	:	217-342-4151
Fax Number	:	217-342-4190

Provider Business Practice Location Address
First Line	:	300 N MAPLE ST
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-2003
Country	:	US
Telephone Number	:	217-342-4151
Fax Number	:	217-342-4190

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOPE E KNAUER
Credential	:	M.D.
Telephone Number	:	217-342-4151

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	06/21/2018

Similar Medicare Providers

1467435651 — LABORATORY CORPORATION OF AMERICA
Practice Location Address:

300 N MAPLE ST
EFFINGHAM, IL
62401-2003

Practice Phone: 217-347-7181
Practice Fax:

1194775064 — DR. JENNIFER C MANEJA MD
Practice Location Address:

300 N MAPLE ST
EFFINGHAM, IL
62401-2003

Practice Phone: 217-342-4151
Practice Fax: 217-347-8955

1093759417 — DR. JOHN HONG SUK YANG MD
Practice Location Address:

300 N MAPLE ST
EFFINGHAM, IL
62401-2003

Practice Phone: 217-528-7541
Practice Fax:

1467489807 — TINA M ROZENE M.D.
Practice Location Address:

300 N MAPLE ST
EFFINGHAM, IL
62401-2003

Practice Phone: 217-342-4151
Practice Fax: 217-347-0108

1306874466 — JASON J MCALLASTER D.O.
Practice Location Address:

300 N MAPLE ST
EFFINGHAM, IL
62401-2003

Practice Phone: 217-342-4151
Practice Fax: 217-342-4190

1245260082 — LANA D SCHMIDT M.D.
Practice Location Address:

300 N MAPLE ST
EFFINGHAM, IL
62401-2003

Practice Phone: 217-342-4151
Practice Fax:

Directions to “MARSHALL CLINIC EFFINGHAM, S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.