DR. COLIN W. SUMIDA (NPI# 1174572119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174572119 |
| Entity Type | Individual |
| Full Name | DR. COLIN W. SUMIDA |
| Credential | M.D. |
| Practice Address |
301 Madison St Ste 207 Joliet IL 60435-6654 |
| Mailing Address |
301 Madison St Ste 275 Joliet IL 60435-6663 |
| Practice Telephone | 8157401900 |
| Practice Fax Number | 8154854463 |
| Mailing Telephone | 8157401900 |
| Mailing Fax Number | 8157252413 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036065985 | IL | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036065985 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036065985 | 05 |
| Street Address |
301 MADISON ST STE 207 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992286868 | Christopher Michael Gloude | Nurse Practitioner | 301 Madison St Ste 207, Joliet, IL 60435 | 2018-08-28 |
| 1457776924 | Cardiology Associates of Northern Illinois | Internal Medicine | 301 Madison St Ste 207, Joliet, IL 60435-6654 | 2014-02-20 |
| 1568411536 | Dennis M Killian | Internal Medicine | 301 Madison St Ste 207, Joliet, IL 60435-6654 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1679896138 | Hazem Al Muradi | Internal Medicine | 301 N Madison St, Ste 207, Joliet, IL 60435-6549 | 2010-03-11 |
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1285684688 | William D Woodward | Internal Medicine | 1300 Copperfield Ave, Suite 3030, Joliet, IL 60432-2004 | 2006-05-10 |
| 1679522403 | Southwest Cardiovascular Consultants,sc | Internal Medicine | 2801 Black Rd, Suite A, Joliet, IL 60435-2929 | 2006-05-09 |
| 1639133358 | George F Aziz | Internal Medicine | 195 Springfield Ave Unit 201, Joliet, IL 60435-6526 | 2006-04-12 |
| 1154302008 | Jose J Villarreal | Internal Medicine | 200 N Hammes Ave, Joliet, IL 60435-6677 | 2005-11-08 |
| 1457776924 | Cardiology Associates of Northern Illinois | Internal Medicine | 301 Madison St Ste 207, Joliet, IL 60435-6654 | 2014-02-20 |
| 1710145578 | Cardiology Associates of Northern Illinois | Internal Medicine | 301 Madison St, Suite 275, Joliet, IL 60435-6549 | 2008-05-29 |
| 1538208004 | Kirkeith Lertsburapa | Internal Medicine | 301 Madison St, Suite 207, Joliet, IL 60435-6549 | 2007-02-05 |
| 1902850829 | Joann Donoghue | Internal Medicine | 301 Madison St, Suite 207, Joliet, IL 60435-6549 | 2006-05-22 |
| Find all providers in JOLIET | ||||
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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.