FARRUKH A KUREISHY (NPI# 1619950060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619950060 |
| Entity Type | Individual |
| Full Name | FARRUKH A KUREISHY |
| Credential | MD |
| Practice Address |
422 W White St Clinton IL 61727-2272 |
| Practice Telephone | 2179359571 |
| Practice Fax Number | 2179357603 |
| Mailing Telephone | 2179359571 |
| Mailing Fax Number | 2179357603 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036101594 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 2191466 | 01 | |
| US DEPT OF LABOR | 601024200 | 01 | |
| IL | 036101594 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 02032003 | 01 |
| HEALTH ALLIANCE | 056153 | 01 | |
| OSF HEALTHPLANS | 101594 | 01 | |
| AETNA | 7732279 | 01 | |
| HEALTHLINK | 450314 | 01 |
| Street Address |
422 W WHITE ST |
| City | CLINTON |
| State | IL |
| Zip Code | 61727-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639546047 | Maureen Elisabeth Wilson | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2015-09-01 |
| 1992171698 | Colleen Elliott-mccandless | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2015-08-17 |
| 1609277060 | Angela Cunningham | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2014-09-04 |
| 1811174402 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2008-01-25 |
| 1447479324 | Danna Elizabeth Powers | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2007-04-25 |
| 1164574034 | Pamela Lyn Letzkus | Pharmacist | 422 W White St, Clinton, IL 61727-2272 | 2007-01-18 |
| 1295898427 | Dr John Warner Hospital | Ambulance | 422 W White St, Clinton, IL 61727-2272 | 2006-12-19 |
| 1275695470 | City of Clinton | General Acute Care Hospital | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
| 1366504565 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
| 1891873816 | City of Clinton | General Acute Care Hospital | 422 W White St, Clinton, IL 61727-2272 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144692393 | Complete Wellness and Integrative Health Center Ltd | General Practice | 211 E Quincy St, Clinton, IL 61727 | 2015-10-28 |
| 1124247507 | Clinton Unit School District 15 | Local Education Agency (LEA) | 1210 State Route 54 West, Clinton, IL 61727 | 2007-04-24 |
| 1578600615 | Dewitt County Human Resource Center | Clinic/Center | 1150 Rt 54 West, Clinton, IL 61727 | 2007-01-30 |
| 1164569265 | Kara Lynn Johnson | Case Manager/Care Coordinator | 1150 Route 54 West, Clinton, IL 61727 | 2007-01-30 |
| 1659474328 | Highland Park Cvs, L.L.C. | Pharmacy | 60 Clinton Plz Sc, Clinton, IL 61727 | 2006-09-07 |
| 1528095510 | St. Joseph Medical Center | Nurse Practitioner | 1231 Kleeman Dr., Clinton, IL 61727 | 2006-06-27 |
| 1588652044 | Residential Alternatives of Illinois Inc | Skilled Nursing Facility | 1 Park Lane West, Clinton, IL 61727 | 2005-10-10 |
| 1629218466 | Olympian Surgical Suites LLC | Clinic/Center | 803 Illini Dr, Clinton, IL 61727 | 2009-03-05 |
| 1023238920 | Sara Ann Holmes | Case Manager/Care Coordinator | 1150 Route 54 West, Clinton, IL 61727 | 2007-04-26 |
| 1740327881 | Cory William Baxter | Counselor | 1150 Route 54 West, Clinton, IL 61727 | 2007-01-30 |
| Find all providers in zip 61727 | ||||
| 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 |
|---|---|---|---|---|
| 1528538758 | Premier Health Care LLC | Internal Medicine | 8023 Malcolm Rd, Clinton, MD 20735-1717 | 2018-11-30 |
| 1871913970 | Whitney Philamlee | Internal Medicine | 2526 Highway 65 S Ste 202, Clinton, AR 72031-6678 | 2014-04-16 |
| 1275967564 | Total Health Internal Medicine, Pllc | Internal Medicine | 602 Beaman St, Unit 606, Clinton, NC 28328-2604 | 2013-08-22 |
| 1649546995 | Mitesh V Shah | Internal Medicine | 7801 Old Branch Ave Ste 202, Clinton, MD 20735-1642 | 2012-03-30 |
| 1013141621 | Shannon S Swift | Internal Medicine | 175 Volunteer Pkwy, Clinton, AR 72031-8001 | 2009-05-11 |
| 1992964316 | Keyteshia Guy | Internal Medicine | 10403 Hospital Dr Ste 103, Clinton, MD 20735-3149 | 2008-06-02 |
| 1265617088 | Paul Edward Viser | Internal Medicine | 603 Beaman St Ste 401, Clinton, NC 28328-2689 | 2007-12-31 |
| 1912119371 | Nancy Patel | Internal Medicine | 700 Plaza Cir Ste N, Clinton, SC 29325 | 2007-05-05 |
| 1760517692 | Anne Owusu | Internal Medicine | 28373 Hwy 76 E, Clinton, SC 29325-0239 | 2007-02-22 |
| 1255479705 | Saleh Obaisi Md Ltd | Internal Medicine | 505 W Side Sq, Clinton, IL 61727-1661 | 2007-02-04 |
| Find all providers in CLINTON | ||||
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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.