Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639339419 Individual Practitioner Female Practitioner

Dr. Amanda Jane Bleichner , MD

Pediatrics • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Bleichner, MD is a registered healthcare professional specializing in Pediatrics in Carbondale, IL. Practice services are available at 2601 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2601 W Main St

Carbondale, IL 629011031

Telephone 6185495361
Fax 6183514878
Associated Practice Facility / Clinic
🏢 The Carbondale Clinic Facility NPI 1043378565

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Carbondale, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036126020

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036126020 (IL)
Commercial Insurance / Payer ID Bcbs
3932056 (IL)
Commercial Insurance / Payer ID Aetna
721089 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Melissa Martinez Mateo , MD

Internal Medicine - Gastroenterology

NPI 1003124280

Doctor of Medicine (M.D.)

Cynthia Snider , APRN

Nurse Practitioner

NPI 1003478066

Advanced Practice Registered Nurse

NPI 1003598269

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Lindsay Casolari , NP

Nurse Practitioner

NPI 1043846421

Nurse Practitioner

Dr. Is-Haq Malik , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1063998862

Doctor of Medicine (M.D.)

Jannice Edmonson , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083578348

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address October 20, 2020

Registered at PO BOX 3988, CARBONDALE, IL 629023988

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Pediatrics (License #036126020 in IL)

NPI Profile Active July 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2010

Registered at 2601 W MAIN ST, CARBONDALE, IL 629011031 (Tel: 6185495361)

📍
Updated Business Mailing Address July 09, 2010

Registered at 2601 W MAIN ST, CARBONDALE, IL 629011031 (Tel: 6185495361)

👤
Provider Name / Credentials Updated July 09, 2010

Recorded as AMANDA BLEICHNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2010

Pediatrics (License #125052390 in IL)

🟢
Initial NPI Registration & Enumeration June 14, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639339419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2008
Last Update: October 20, 2020
Sole Proprietor: No

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.