PRASHANT JAGTAP (NPI# 1619390846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619390846 |
| Entity Type | Individual |
| Full Name | PRASHANT JAGTAP |
| Credential | MD |
| Practice Address |
800 E Carpenter St Springfield IL 62769-1000 |
| Practice Telephone | 2175446464 |
| Practice Fax Number | 2177576417 |
| Mailing Telephone | 2175446464 |
| Mailing Fax Number | 2177576417 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036139333 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
800 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62769-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683656 | Mounir F Banoub | Anesthesiology | 800 E Carpenter St, Springfield, IL 62702-5324 | 2005-07-21 |
| 1649897315 | Karen M Stuckey | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-29 |
| 1679190581 | Natalie Kay Strope | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-26 |
| 1114542404 | Michael J Hohm | Physician Assistant | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-11 |
| 1528681145 | Steven David Sumpter | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-05-19 |
| 1679193387 | Jennifer Aumann | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1396365102 | Lauren Aileen Gregory | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1801420559 | Jia Dong | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-0002 | 2020-03-02 |
| 1790322469 | Sarah Hoppe | Occupational Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-12-02 |
| 1902442411 | Abigail Clark | Speech-Language Pathologist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921578 | Sherry Ann Jankuski | Occupational Therapist | 800 E. Carpenter St., Springfield, IL 62769 | 2006-07-27 |
| 1306129663 | Suartcha Prueksaritanond | Internal Medicine | 800 E Carpenter Street Hshs Medical Group Inc, Springfield, IL 62769-0001 | 2011-09-23 |
| 1114213188 | Tiffany Nicole Cavoretto | Dietitian, Registered | 800 E Capenter St, Springfield, IL 62769-0001 | 2011-06-28 |
| 1245416536 | Mary T Peter | Radiology | Springfield Radiologists St Johns Hospital, 800 E. Carpenter Street, Springfield, IL 62769-0001 | 2008-01-16 |
| 1922282169 | Mary Anne Raab | Physical Therapist | St John's Hospital, 800 East Carpenter, Springfield, IL 62769-0001 | 2007-12-24 |
| 1407030745 | Joan Hildebrand | Speech-Language Pathologist | St John's Hospital Pedi Rehab, 800 E. Carpenter, Springfield, IL 62769-0001 | 2007-12-21 |
| 1265654164 | Nzeadibenma O Uzochukwu | Radiology | 800 Carpenter St, Springfield, IL 62769-0001 | 2007-05-02 |
| 1649499237 | Dennis Goldberg | Emergency Medicine | 800 E Carpenter St Emergency Dept, Springfield, IL 62769-0001 | 2007-04-24 |
| 1609093632 | Michael Young | Radiology | St Johns Hospital, 800 East Carpenter St., Springfield, IL 62769-0001 | 2007-04-19 |
| 1558400358 | Simon Vladimir Bekker | Radiology | Springfield Radiologists S C, 800 East Carpenter Street, Springfield, IL 62769-0001 | 2007-02-06 |
| Find all providers in zip 62769 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1659313823 | Peter White Jr. | Internal Medicine | 751 N Rutledge St Rm 2100, Springfield, IL 62702-4968 | 2006-06-12 |
| 1558309898 | John R. Carlile | Internal Medicine | 1000 E. Primrose, #200, Springfield, MO 65807-5388 | 2006-06-02 |
| 1134166317 | Moin Ahmed Ranginwala | Internal Medicine | 2029 East High Street, Suite 101, Springfield, OH 45505 | 2006-05-31 |
| 1558311126 | Donald G Gumprecht | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-12 |
| 1083604870 | Chih Ming Chen | Internal Medicine | 2150 Main St, Springfield, MA 01104-3300 | 2005-10-24 |
| 1700275385 | Keivan Shalileh | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2015-01-20 |
| 1841608890 | Mohammad E Abu Hishmeh | Internal Medicine | 3300 Main Street, 2nd Fl, Suite B, Springfield, MA 01107-1112 | 2014-07-22 |
| 1316353428 | Debdoot Saha | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2014-07-09 |
| 1528473758 | Ammar Syed | Internal Medicine | 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 | 2014-06-26 |
| 1710397781 | Olaoluwatomi Kehinde Lamikanra | Internal Medicine | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62769 |
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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.