DR. JYOTHI GOGINENI (NPI# 1265624282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265624282 |
| Entity Type | Individual |
| Full Name | DR. JYOTHI GOGINENI |
| Credential | M.D. |
| Practice Address |
10370 Haligus Rd Ste 117 Huntley IL 60142 |
| Mailing Address |
10370 Haligus Rd Ste 117 Huntley IL 60142-9582 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8477027207 |
| Mailing Telephone | 8153386600 |
| Mailing Fax Number | 8477027207 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036-122492 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036122492 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Station Dr Fl 3, Crystal Lake, IL 600147978 | 8153386600 | 8153562388 |
| Street Address |
10370 HALIGUS RD STE 117 |
| City | HUNTLEY |
| State | IL |
| Zip Code | 60142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1881201895 | Activefit Physical Therapy and Personal Training | Physical Therapist | 12172 S. Route 47, #125, Huntley, IL 60142 | 2020-09-24 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1427689744 | Gilberts Evolve LLC | Chiropractor | 9738 Illinois Hwy 47, Huntley, IL 60142 | 2020-01-27 |
| 1790332898 | Mary Casper | Technician | 12829 Mesa St, Huntley, IL 60142 | 2019-08-22 |
| 1437719838 | Faith A Furst | Student in an Organized Health Care Education/Training Program | 12300 Il-47, Huntley, IL 60142 | 2019-06-18 |
| 1578046934 | Shelby Osterberg | Physical Therapist | 12112 S Rt 47, Huntley, IL 60142 | 2018-09-12 |
| 1801378229 | Emilyn Pollack | Nurse Practitioner | 9850 Grimley, Huntley, IL 60142 | 2018-09-01 |
| 1215452537 | Jennifer Amanda Baudin | Occupational Therapy Assistant | 10580 Oakland Ct, Huntley, IL 60142 | 2017-08-08 |
| 1902336555 | Tyler J Wylde | Dentist | 12222 Il-47, Huntley, IL 60142 | 2017-06-15 |
| Find all providers in zip 60142 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JYOTHI GOGINENI.
| 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.