DR. POOJA GUPTA (NPI# 1205044062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205044062 |
Entity Type | Individual |
Full Name | DR. POOJA GUPTA |
Credential | MD |
Practice Address |
900 Main St Ste 630 Peoria IL 61602-5024 |
Practice Telephone | 3096724433 |
Mailing Telephone | 3096724433 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2017-11-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 2006013138 | MO | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
6462 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | LICENSE | 036123061 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528367760 | Pooja Gupta | Pharmacist | 1999 Pulaski Hwy, Bear, DE 19701-1708 | 2011-03-25 |
1407009194 | Pooja Gupta | Dentist | 2400 Computer Dr, Westborough, MA 01581-1770 | 2008-10-28 |
1801281845 | Pooja Gupta | Anesthesiology | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2015-04-06 |
1215253281 | Pooja Uma Gupta | Internal Medicine | 5255 Loughboro Rd Nw, Washington, DC 20016-2633 | 2010-04-15 |
1124284393 | Pooja Gupta | Family Medicine | 730 W Market St, Lima, OH 45801-4602 | 2008-08-06 |
1275793614 | Pooja Gupta | Physical Therapist | 2401 Ravine Way, Suite 100, Glenview, IL 60025-7645 | 2008-06-10 |
1336330786 | Pooja Gupta | Obstetrics & Gynecology | 495 Thomas Jones Way, Suite 210 Main Line Health Center, Exton, PA 19341-2553 | 2007-08-09 |
1861615007 | Pooja Gupta | Pediatrics | 3901 Beaubien - 4th Fl, Childrens Hospital of Mi, Detroit, MI 48201-2119 | 2007-04-10 |
1497762355 | Pooja Gupta | Family Medicine | 400 N Pepper Ave, Arrowhead Regional Medical Center, Colton, CA 92324-1819 | 2006-08-02 |
Street Address |
900 MAIN ST STE 630 |
City | PEORIA |
State | IL |
Zip Code | 61602-5024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285117820 | Leah Hulse | Nurse Practitioner | 900 Main St Ste 630, Peoria, IL 61602-5024 | 2018-09-10 |
1033608872 | Melinda Bahler | Nurse Practitioner | 900 Main St Ste 630, Peoria, IL 61602-5024 | 2018-05-08 |
1306344650 | Karen Becker | Nurse Practitioner | 900 Main St Ste 630, Peoria, IL 61602-5024 | 2018-01-31 |
1477062651 | Valerie Fortier | Nurse Practitioner | 900 Main St Ste 630, Peoria, IL 61602-5024 | 2017-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
Find all providers in zip 61602 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1194335802 | Integrated Medical Wellness Center, LLC | Internal Medicine | 10184 W Happy Valley Pkwy Ste 180, Peoria, AZ 85383-1254 | 2020-08-06 |
1285767087 | David L Gorenz | Internal Medicine | Osf Saint Francis Medical Ctr, 530 N E Glen Oak, Peoria, IL 61637-0001 | 2007-03-13 |
1437122397 | Amit Dhingra | Internal Medicine | 13634 N 93rd Ave Ste 100, Peoria, AZ 85381-4915 | 2006-02-10 |
1558334557 | Bernard G Taylor | Internal Medicine | 132 E Mossville Rd, Peoria, IL 61615-9793 | 2006-02-09 |
1508854787 | Girish Himatlal Mehta | Internal Medicine | 13634 North 93rd Avenue, Suite 100, Peoria, AZ 85381 | 2005-10-11 |
1578863288 | Car Medical, PC | Internal Medicine | 13216 N Plaza Del Rio Blvd, Peoria, AZ 85381-4907 | 2010-10-27 |
1801127568 | Gagandip B Singh | Internal Medicine | 13634 N 93rd Ave Ste 100, Peoria, AZ 85381-4915 | 2010-01-20 |
1134352842 | Illinois Specialty Physician Services At Osf, LLC | Internal Medicine | 1001 Main St, Ste 200, Peoria, IL 61606-1907 | 2009-08-27 |
1306923750 | Jack Steven Tuber | Internal Medicine | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2006-11-01 |
1437244555 | Jon Christopher Michel | Internal Medicine | 1001 Main St, Illinois Lung and Critical Care Suite 200, Peoria, IL 61606-1907 | 2006-10-04 |
Find all providers in PEORIA |
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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.