VINODA SHANTHAPPA (NPI# 1518986512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518986512 |
| Entity Type | Individual |
| Full Name | VINODA SHANTHAPPA |
| Other Name | VINODA VINODA |
| Credential | MD |
| Practice Address |
Methodist Medical Ctr 221.ne Glen Oak Ave Peoria IL 61636-0002 |
| Practice Telephone | 3096725729 |
| Practice Fax Number | 3096725772 |
| Mailing Telephone | 3096725729 |
| Mailing Fax Number | 3096725772 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 36114697 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036114697 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 3711361916002 | 05 | |
| IL | IL LICENSE | 036114697 | 01 |
| Street Address |
METHODIST MEDICAL CTR 221.NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61636-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962767376 | Aman Deep Singh | Psychiatry & Neurology | 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 | 2012-07-11 |
| 1932490075 | Christine Ann Wigginton | Radiology | 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 | 2011-04-24 |
| 1154856607 | Shubhada Reddy | Psychiatry & Neurology | 221 Ne Glen Oak Ave, Peoria, IL 61636 | 2017-04-21 |
| 1649657685 | Nicholas Grieco | Internal Medicine | 221 Ne Glen Oak Ave, Peoria, IL 61636 | 2015-04-29 |
| 1659703759 | Dhaval Save | Internal Medicine | 221 Ne Glen Oak Ave, Peoria, IL 61636 | 2013-07-31 |
| 1164474755 | Methodist Medical Center of Illinois | General Acute Care Hospital | 221 Ne Glen Oak Ave, Peoria, IL 61636 | 2006-05-16 |
| 1871560623 | Minna Jinn O'leary | Psychiatry & Neurology | 221 Ne Glen Oak Ave, Peoria, IL 61636 | 2006-03-01 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1497141758 | Amber Hemminger | Registered Nurse | 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2015-04-13 |
| Find all providers in zip 61636 | ||||
| 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 |
|---|---|---|---|---|
| 1841779063 | Chris Brooker Do Pllc | Internal Medicine | 7747 W Deer Valley Rd Ste 250, Peoria, AZ 85382-2124 | 2018-08-08 |
| 1447736665 | Artem Aesthestics & Wellness LLC | Internal Medicine | 9059 W Lake Pleasant Pkwy Ste C320, Peoria, AZ 85382-8394 | 2018-07-11 |
| 1568956670 | Mckenzie Elle Wylie | Internal Medicine | Unity Point Health 815 Main St, Suite C, Peoria, IL 61602-1080 | 2018-06-21 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1518318005 | Jason Thomas Taylor | Internal Medicine | 538 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-06-26 |
| 1134508112 | Anthony Alexander Baldoni | Internal Medicine | Saint Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2015-05-25 |
| 1194133850 | Ashish Kumar Roy | Internal Medicine | 530 N.e. Glen Oak Ave, Peoria, IL 61637 | 2014-07-25 |
| 1083047401 | Paul Stuart Moots | Internal Medicine | 929 W Loire Ct, Apt 1211, Peoria, IL 61614-1850 | 2013-08-21 |
| 1386085975 | Amit Bhushan Sharma | Internal Medicine | 1505 N Peoria Ave # Appt806, Peoria, IL 61603-3140 | 2013-07-10 |
| 1205171709 | Amruta Surendra Jaju | Internal Medicine | 5401 N Knoxville Ave Ste 204, Peoria, IL 61614-5021 | 2012-12-10 |
| Find all providers in PEORIA | ||||
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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.