DR. BANGALORE N JAYARAM (NPI# 1235131244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235131244 |
| Entity Type | Individual |
| Full Name | DR. BANGALORE N JAYARAM |
| Credential | M.D. |
| Practice Address |
1501 S California Ave Chicago IL 60608-1732 |
| Mailing Address |
3537 Paysphere Cir Chicago IL 60674-0035 |
| Practice Telephone | 7732575550 |
| Mailing Telephone | 7087862900 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-044772-3 | 05 |
| Street Address |
1501 S CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118856 | Robert C Parker | Internal Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2005-07-14 |
| 1568094803 | Klaudia Magdalena Gwozdz | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2020-02-05 |
| 1578036422 | Britney Kummerer | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2019-01-03 |
| 1114405164 | Katya Tapia | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-08-01 |
| 1487140166 | Rayman Johal | Family Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-07-06 |
| 1871092940 | Maruf Yinusa | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-02-05 |
| 1114456134 | Joanna Villacorta Griffin | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2017-06-05 |
| 1982149159 | Carmen Murillo | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-12-27 |
| 1558819821 | Man Ye | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-09-15 |
| 1285180430 | Emily Arlene Grace | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326114216 | Lim-kuy D Kho Md Sc | Surgery | 5525 S Pulaski, Chicago, IL 60629 | 2006-11-24 |
| 1922334226 | The Chicago Center for Plastic & Reconstructive Surgery, LLC | Surgery | 845 North Michigan Avenue, Suite 980w, Chicago, IL 60611-2218 | 2009-10-22 |
| 1639259096 | Lim-kuy D Kho | Surgery | 5525 S Pulaski Rd, Chicago, IL 60629 | 2006-10-17 |
| 1366495186 | Hand Surgery, Ltd Sc | Surgery | 1725 W Harrison St, Suite 319, Chicago, IL 60612-3841 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245442375 | Southern Illinois Hand Center, Sc | Surgery | 901 Medical Park Drive, Suite 100, Effingham, IL 62401 | 2007-05-03 |
| 1053435222 | Salvatore Antonio Fanto | Surgery | 11304 W Distinctive Drive, Orland Park, IL 60462 | 2007-03-16 |
| 1174619753 | Evan T. Manolis | Surgery | 8760 W 159th St, Suite 204, Orland Park, IL 60462-5395 | 2006-10-04 |
| 1518064542 | Peter W Hui | Surgery | 493 S York St, Elmhurst, IL 60126-3944 | 2006-09-20 |
| 1992814628 | Jerome S Weiskopf | Surgery | 6533 Lexus Drive, Rockford, IL 61108-3015 | 2006-08-29 |
| 1629452073 | Justyn Lutfy | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2015-07-15 |
| 1669789327 | Mark T. Shima | Surgery | 2300 S 1st St, Champaign, IL 61820-7661 | 2010-09-01 |
| 1689878480 | Alan H Chen | Surgery | 823 129th Infantry Dr, Room 103, Joliet, IL 60435-8346 | 2007-06-14 |
| 1568682508 | Timothy Michael Bradley | Surgery | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2007-05-01 |
| 1285732172 | David W. Chang | Surgery | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-09-21 |
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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.