DR. AMIT KUMAR GUPTA (NPI# 1639395114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639395114 |
| Entity Type | Individual |
| Full Name | DR. AMIT KUMAR GUPTA |
| Credential | M.D. |
| Practice Address |
900 N. 1st Street Springfield IL 62702-3749 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Practice Fax Number | 2175272830 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036090934 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036-090934 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114252475 | Amit Kumar Gupta | Internal Medicine | 100 Magnolia St, Unit 5315, Jacksonville, FL 32204-2200 | 2009-10-05 |
| 1073635462 | Amit Gupta | Internal Medicine | 1100 E. 21st St., Ste. 601, Sioux Falls, SD 57105-1000 | 2007-04-04 |
| 1740274612 | Amit Gupta | Surgery | 300 South Ave, Garwood, NJ 07027-1312 | 2005-09-07 |
| 1073096186 | Amit Kumar Gupta | Pharmacist | 101 Wallace Ave, Downingtown, PA 19335-2604 | 2018-09-13 |
| 1942619317 | Amit Gupta | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2014-08-10 |
| 1306266523 | Amit Ajay Gupta | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2014-04-28 |
| 1679991277 | Amit Gupta | Family Medicine | 414 Doctors Ct, Oshkosh, WI 54901 | 2014-04-01 |
| 1982040994 | Amit Gupta | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, 3116 Taubman Center, Spc 5368, Ann Arbor, MI 48109-5000 | 2013-05-16 |
| 1740599331 | Amit Gupta | Radiology | Hsc Level 4 Rm 120, 100 Nichols Road, Stony Brook, NY 11794-8460 | 2010-09-29 |
| 1902039597 | Amit Gupta | Physical Therapist | 35746 Harper Ave, Clinton Township, MI 48035-3212 | 2009-08-28 |
| Street Address |
900 N. 1ST STREET |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164410163 | David C. Chapman | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2005-10-12 |
| 1437423613 | Brooke Y. Trickey | Nurse Practitioner | 900 N. 1st Street, Springfield, IL 62702-3749 | 2012-03-06 |
| 1699049874 | Ginger P. Boehler | Nurse Practitioner | 900 N. 1st Street, Springfield, IL 62702-3749 | 2012-03-06 |
| 1316254287 | Stacy Ann Roher | Registered Nurse | 900 N. 1st Street, Springfield, IL 62702-3749 | 2010-09-13 |
| 1821309790 | Alison Christine Rinaberger | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2010-06-25 |
| 1962638130 | Amanda L. Shull | Physician Assistant | 900 N. 1st Street, Springfield, IL 62702-3749 | 2009-06-02 |
| 1063535029 | Lucinda A Hany | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2007-04-06 |
| 1558458349 | John D. Zander | Colon & Rectal Surgery | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-05 |
| 1366539165 | J. Michael Zinzilieta | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-05 |
| 1710073382 | Ernest E Ertmoed | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700071008 | Shravan Kumar Narmala | Internal Medicine | 2055 S Fremont Ave Ste 1000, Springfield, MO 65804-2206 | 2007-09-10 |
| 1356447288 | John Thomas Fitzharris | Internal Medicine | 3377 Riverbend Dr Ste 500, Springfield, OR 97477-8802 | 2006-09-16 |
| 1881637049 | Namita Vinayek | Internal Medicine | 900 N 1st Street, Springfield, IL 62702 | 2006-06-14 |
| 1285692178 | Tennessee Oncology Pllc | Internal Medicine | 480 Northcrest Dr, Ste 400, Springfield, TN 37172-3972 | 2006-05-02 |
| 1801879762 | Timothy A Johnson | Internal Medicine | 271 Carew Street, Springfield, MA 01104 | 2005-11-23 |
| 1609865294 | Meghna Ramesh Desai | Internal Medicine | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2005-10-17 |
| 1235128109 | Krishna A Rao | Internal Medicine | 415 N 9th St, Springfield, IL 62702-5317 | 2005-10-13 |
| 1285232140 | Daniella Greaves | Internal Medicine | 385 Morris Ave, Springfield, NJ 07081-1151 | 2020-10-13 |
| 1932645744 | Lester E Cox Medical Centers | Internal Medicine | 3850 S National Ave, Springfield, MO 65807-5287 | 2017-01-18 |
| 1477908788 | Effingham Physician Practices, LLC | Internal Medicine | 459 Hwy 119 S, Ste B, Springfield, GA 31329-3021 | 2016-04-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.