DR. POOJA GUPTA


Address: 900 Main St Ste 630, Peoria, IL 61602-5024
Phone: 3096724433

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL LICENSE 036123061 01

Other Providers POOJA GUPTA

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

Office Location

Street Address 900 MAIN ST STE 630
City PEORIA
State IL
Zip Code 61602-5024

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PEORIA
Zip Code 61602

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Dataset Information

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.

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