KRISTY TODD (NPI# 1508955394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508955394 |
| Entity Type | Individual |
| Full Name | KRISTY TODD |
| Other Name | KRISTY MOLINA |
| Credential | PA-C |
| Practice Address |
5841 S. Maryland Ave. Mc 5040, Suite E500 Chicago IL 60637 |
| Practice Telephone | 7737025267 |
| Practice Fax Number | 7738349114 |
| Mailing Telephone | 7737025267 |
| Mailing Fax Number | 7737024187 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085002792 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5841 S. MARYLAND AVE. MC 5040, SUITE E500 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082188 | Matthew Law | Anesthesiology | 5841 S. Maryland Ave., M/c 4028, Chicago, IL 60637-1443 | 2020-04-23 |
| 1114547254 | Michael Bertenthal | Pediatrics | 5841 S. Maryland Ave., Mc 8016, Chicago, IL 60637-1443 | 2020-04-18 |
| 1568023166 | Carol Yeojin Park | Pediatrics | 5841 S. Maryland Ave., M/c 8016, Chicago, IL 60637 | 2019-06-25 |
| 1427611920 | David Grande | Otolaryngology | 5841 S. Maryland Ave., M/c 1035, Chicago, IL 60637-1443 | 2019-04-19 |
| 1982166971 | Tegan Gomez | Internal Medicine | 5841 S. Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2019-04-01 |
| 1932660412 | Mary Elizabeth Acosta | Internal Medicine | 5841 S. Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2019-03-27 |
| 1952888059 | Nasya Mendoza-elias | Neurological Surgery | 5841 S. Maryland Ave., M/c 31026, Chicago, IL 60637 | 2018-07-23 |
| 1649795543 | Nabiel Mir | Student in an Organized Health Care Education/Training Program | 5841 S. Maryland Ave., M/c 6098, Chicago, IL 60637-1443 | 2017-08-11 |
| 1780030510 | Priyanka Chablani | Internal Medicine | 5841 S. Maryland Ave., Chicago, IL 60637-1443 | 2016-05-11 |
| 1356723811 | Victor German Patron Romero | Psychiatry & Neurology | 5841 S. Maryland Ave., M/c 3077, Chicago, IL 60637-1443 | 2015-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
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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.