CAPITOL HEALTHCARE, S.C. (NPI# 1336192384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336192384 |
| Entity Type | Organization |
| Organization Name | CAPITOL HEALTHCARE, S.C. |
| Practice Address |
2603 S 6th St Springfield IL 62703-3807 |
| Practice Telephone | 2175280307 |
| Practice Fax Number | 2175280034 |
| Mailing Telephone | 2175280307 |
| Mailing Fax Number | 2175280034 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAMELA S WATSON (ASSISTANT BUSINESS MANAGER) |
| Authorized Official Telephone | 2175280307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
2603 S 6TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912977851 | Jane L Jackman | Family Medicine | 2603 S 6th St, Springfield, IL 62703-3807 | 2006-01-24 |
| 1225478027 | Shahed Mohammad Shams | Internal Medicine | 2603 S 6th St, Springfield, IL 62703-3807 | 2013-06-26 |
| 1730418229 | Goutami Kanna Nallamothu | Internal Medicine | 2603 S 6th St, Springfield, IL 62703-3807 | 2009-12-14 |
| 1659501955 | Regina Marie White | Nurse Practitioner | 2603 S 6th St, Springfield, IL 62703-3807 | 2009-07-21 |
| 1982844320 | Capitol Healthcare Medical Associates, LLC | Family Medicine | 2603 S 6th St, Springfield, IL 62703-3807 | 2009-02-25 |
| 1487607412 | George A Geranios | Internal Medicine | 2603 S 6th St, Springfield, IL 62703-3807 | 2006-05-19 |
| 1710957659 | George M Burns | Internal Medicine | 2603 S 6th St, Springfield, IL 62703-3807 | 2006-01-24 |
| 1255301107 | Mary S Saunders | Internal Medicine | 2603 S 6th St, Springfield, IL 62703-3807 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1639675077 | Anand Kanjolia, M.d. LLC | Internal Medicine | 222 Carew St Fl 4, Springfield, MA 01104-4109 | 2018-04-04 |
| 1376068817 | Personal Primary Care and Weight Management, LLC | Internal Medicine | 299 Carew St Ste 234, Springfield, MA 01104-2368 | 2017-08-05 |
| 1184145682 | Basma Al-bast | Internal Medicine | 701 N 1st St Ste 434, Springfield, IL 62702-3757 | 2017-07-05 |
| 1689124604 | John Duff | Internal Medicine | 2909 S Camber Ave, Springfield, MO 65809-3547 | 2016-10-13 |
| 1669834941 | Siddhi Joshi | Internal Medicine | 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 | 2016-03-24 |
| 1265898936 | Mohammad Rahimuddin | Internal Medicine | 2556 Snyder Domer Rd, Springfield, OH 45502-8161 | 2016-01-11 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1679992895 | Ahlam Elbadri | Internal Medicine | 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 | 2014-04-15 |
| 1528487543 | Barbara Vinci | Internal Medicine | 2443 Troy Rd, Springfield, OH 45504-4233 | 2014-04-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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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.