KOOSHA PAYDARY (NPI# 1194245514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194245514 |
Entity Type | Individual |
Full Name | KOOSHA PAYDARY |
Credential | MD |
Practice Address |
5841 S Maryland Ave # Mc2115 Chicago IL 60637-1443 |
Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
Practice Telephone | 7737022731 |
Mailing Telephone | 7737021150 |
Enumeration Date | 2017-06-27 |
Last Update Date | 2020-06-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 125070064 | IL | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036151745 | IL | Allopathic & Osteopathic Physicians |
Street Address |
5841 S MARYLAND AVE # MC2115 |
City | CHICAGO |
State | IL |
Zip Code | 60637-1443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
1043811672 | Alexis Small | Physician Assistant | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2020-11-02 |
1689212169 | Jamie Elizabeth Mathews | Nurse Practitioner | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2019-12-16 |
1366960759 | Nina Pagaduan | Nurse Practitioner | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2017-09-06 |
1285161075 | Kenisha Quiana Grandison | Nurse Practitioner | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2017-05-11 |
1982136214 | Vishesh Kothary | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2017-03-27 |
1548791437 | Dario Martin Villamar | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2017-03-23 |
1336502731 | Ajay Major | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2016-04-01 |
1750778924 | Carolina Soto Chervin | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637 | 2015-04-24 |
1669861449 | Michael Joseph Breen | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2015-01-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
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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.