VIDYA SHANKARAN


Address: 340 W Lincoln St, Ste 500, Belleville, IL 62220-1900
Phone: 6182777400

VIDYA SHANKARAN (NPI# 1528214624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528214624
Entity Type Individual
Full Name VIDYA SHANKARAN
Credential MD
Practice Address 340 W Lincoln St
Ste 500
Belleville
IL 62220-1900
Practice Telephone 6182777400
Mailing Telephone 6182777400
Enumeration Date 2008-08-08
Last Update Date 2019-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208200000X Plastic Surgery 20106 NH Allopathic & Osteopathic Physicians
Y 208200000X Plastic Surgery 036134925 IL Allopathic & Osteopathic Physicians
N 208600000X Surgery 125050724 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION 036134925 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Medical Center Dr, Lebanon, NH 037560001 6036505148

Office Location

Street Address 340 W LINCOLN ST
STE 500
City BELLEVILLE
State IL
Zip Code 62220-1900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477558922 John A. Hucker Obstetrics & Gynecology 340 W Lincoln St, Ste 560, Belleville, IL 62220-1900 2005-06-20
1609313758 Marianne Guthrie Nurse Practitioner 340 W Lincoln St, 200, Belleville, IL 62220-1900 2017-01-27
1841683133 Kathryn Liermann Physician Assistant 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 2015-03-10
1447686886 Amelia Gerke Physician Assistant 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 2013-09-17
1811286305 Sherry Tindall Nurse Practitioner 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 2011-04-05
1427204965 Elizabeth Renaker-jansen Plastic Surgery 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 2008-08-15
1811188949 Kristina Naseer Anesthesiology 340 W Lincoln St, Suite 200, Belleville, IL 62220-1900 2007-08-05
1154538064 Desiree Y Miller Physician Assistant 340 W Lincoln St, Suite#300, Belleville, IL 62220-1900 2007-05-17
1700962271 Lincoln Surgical Group Surgery 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 2006-10-27
1487755518 Girish R Mood Internal Medicine 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 2006-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144729716 St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of Clinic/Center 180 South Third Street Suite 101, Belleville, IL 62220 2018-02-08
1437675535 Prorehab PC Occupational Therapist 1915 Carlyle Ave, Ste D, Belleville, IL 62220 2017-08-21
1629527650 Arika Forrest Nurse Practitioner 140 Iowa Ave, Belleville, IL 62220 2016-10-03
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1962871558 Antony Frierdich Specialist/Technologist 22 South 13th Street, Belleville, IL 62220 2015-09-24
1588032858 Dana Wright Pharmacist 211 South Thrid Street, Belleville, IL 62220 2015-09-03
1629208731 Lisa Marlow Johnson Developmental Therapist 34 Fenwood Dr, Belleville, IL 62220 2009-07-23
1841361623 Neurological Surgery of Belleville Neurological Surgery 340 West Lincoln Street, Suite 540, Belleville, IL 62220 2006-11-13
1689769119 Kathy Jo Corn Counselor 521 W. Main, Suite 201 B, Belleville, IL 62220 2006-10-03
1780609578 Southern Illinois Health Care Foundation, Inc. Counselor 180 S 3rd St Ste 103&104, Belleville, IL 62220 2006-07-13
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427204965 Elizabeth Renaker-jansen Plastic Surgery 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 2008-08-15
1558556878 St. Elizabeth's Hospital Plastic Surgery 2900 Frank Scott Pkwy W, Suite 970, Belleville, IL 62223-5000 2007-09-10
1578551065 Plastic Surgery Consultants, P.C. Plastic Surgery 4600 Memorial Dr, Medical Office Building 2 - Suite 320, Belleville, IL 62226-5366 2005-10-10
1548258288 Robert C. Wanless Plastic Surgery 4600 Memorial Dr, Suite 320, Belleville, IL 62226-5366 2005-10-06
1215922067 Richard J. Hehmann Plastic Surgery 4600 Memorial Dr, Suite 320, Belleville, IL 62226-5366 2005-09-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093363236 Stephen A Madry Md Plastic Surgery 27750 W Il Route 22 Ste 230, Barrington, IL 60010-1924 2019-08-30
1588129928 Rosett Plastic Surgery, LLC Plastic Surgery 1149 Crofton Ave N, Highland Park, IL 60035-3953 2019-02-08
1922572411 Plastic Surgery Services and Equipment LLC Plastic Surgery 3050 Finley Rd Ste 300b, Downers Grove, IL 60515-1369 2019-01-17
1710487095 Bradley Ashpole Md LLC Plastic Surgery 501 W Golf Rd Ste A, Schaumburg, IL 60195-3502 2018-02-13
1821501586 Plastic Surgery Clinic of Chicago LLC Plastic Surgery 850 S Wabash Ave Ste 310, Chicago, IL 60605-3642 2017-11-15
1720500085 Warner Aesthetic & Reconstructive Institute Plastic Surgery 570 Lincoln Ave Lowr Level4, Winnetka, IL 60093-2355 2017-07-08
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1073977369 Subramaniam Arumugam Plastic Surgery 13020 S Winnebago Rd, Palos Heights, IL 60463-2056 2016-04-12
1598123424 Craig Bradley Plastic Surgery 1035 W Rundell Pl, Chicago, IL 60607-2514 2016-02-06
1215346325 Damian Gress Plastic Surgery 943 W 14th Pl, Unit 2 B, Chicago, IL 60608-2287 2014-08-04
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Competitor

Search similar providers

City BELLEVILLE
Zip Code 62220

Improve Information

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Dataset Information

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.

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