SURICHHYA BAJRACHARYA (NPI# 1588046882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588046882 |
| Entity Type | Individual |
| Full Name | SURICHHYA BAJRACHARYA |
| Credential | MD |
| Practice Address |
1675 Dempster St Park Ridge IL 60068 |
| Mailing Address |
1675 Dempster St Park Ridge IL 60068-1110 |
| Practice Telephone | 8473189300 |
| Mailing Telephone | 8473189300 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
036148744 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 55th St, Lutheran Medical Center, Brooklyn, NY 11220 | 7186306374 | |
| 1675 Dempster St, Park Ridge, IL 60068 | 8473189300 |
| Street Address |
1675 DEMPSTER ST |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417932526 | David G Thoele | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2005-12-12 |
| 1811594088 | Sara Schankerman | Occupational Therapist | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-10-01 |
| 1598394454 | Alyse Marie Kaml | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-04-03 |
| 1386273399 | Sharon Marie Figliulo | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-04-02 |
| 1033748181 | Joshua Raven | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-04-01 |
| 1043848310 | Justin Henry Arollado Figueroa | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-31 |
| 1043848344 | Elizabeth Emily Onishchenko | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-31 |
| 1992333496 | Catherine Siew | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1184252850 | Jessica Nilsen | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1508494287 | Timothy Michael Marshall | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871910976 | Jessica Lahn Chiang | Pediatrics | 1775 Dempster St # 54, Park Ridge, IL 60068-1143 | 2014-03-26 |
| 1700187531 | Ursula Patricia Colareta Ugarte | Pediatrics | 1444 Carol St Apt A, Park Ridge, IL 60068-1290 | 2010-11-10 |
| 1306374483 | Asma Qamruddin | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2017-06-01 |
| 1821403676 | Sweatha Kasala | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2014-06-30 |
| 1245676949 | Andrew David Franklin | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068 | 2013-05-21 |
| 1225208549 | Michael Thomas Cappello | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2008-03-03 |
| 1336324417 | Preetha Ambika Prazad | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2008-01-08 |
| 1841486800 | Miriam Noble Rajpal | Pediatrics | 1775 Dempster St, Division of Neonatology, Park Ridge, IL 60068-1143 | 2007-09-23 |
| 1588743926 | Gasudraz S.s Ahmed | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2006-11-05 |
| 1255418703 | Thomas G Sheagren | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2006-11-01 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.