SIDDHARTH DUBEY (NPI# 1699153791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699153791 |
| Entity Type | Individual |
| Full Name | SIDDHARTH DUBEY |
| Credential | M.D. |
| Practice Address |
400 N 9th St Fl 2 Springfield IL 62702-5310 |
| Mailing Address |
Po Box 19661 Springfield IL 62794-9661 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175452303 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175454981 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
036-146371 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
400 N 9TH ST FL 2 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5310 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023090875 | Ramzi Toufic Nicolas | Pediatrics | 619 E Mason St Ste 5, Springfield, IL 62701-1080 | 2005-11-17 |
| 1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
| 1447686415 | Lamya Mubayed | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2013-09-22 |
| 1881836724 | Eric Anders Johnson | Pediatrics | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2009-03-24 |
| 1841486263 | Hani S Ghawi | Pediatrics | 619 E Mason St, 5th Floor, Springfield, IL 62701-1034 | 2007-09-19 |
| 1912098831 | Thomas W Rowland | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-09-27 |
| 1881793941 | Anna Tsirka | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-09-22 |
| 1275556771 | Siu Physicians & Surgeons, Inc | Pediatrics | 701 N 1st St, D235, Springfield, IL 62781-0001 | 2006-07-25 |
| 1003812504 | Alan Dare Tong | Pediatrics | 4350 S National Ave, Suite C 100, Springfield, MO 65810-2607 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386187458 | A2z Care Med-peds Specialists, PC | Pediatrics | 550 East Bougton Road, Suite 110, Bolingbrook, IL 60440-2194 | 2016-11-22 |
| 1003369836 | Peter Varga Md Sc | Pediatrics | 317 N Euclid Ave, Oak Park, IL 60302-2109 | 2016-07-28 |
| 1558759738 | Axiom Clinic, Sc | Pediatrics | 4202 Forest Ave, Downers Grove, IL 60515-2049 | 2014-12-22 |
| 1265853170 | Leo Henikoff Jr. | Pediatrics | 1437 W Lexington St, Chicago, IL 60607-4013 | 2013-12-18 |
| 1932425188 | Amy Marie O'connor | Pediatrics | 225 E Chicago Ave # 21, Chicago, IL 60611-2991 | 2010-04-13 |
| 1376709519 | Sanmit Kumar Basu | Pediatrics | 5841 S Maryland Ave # Mc4051, Chicago, IL 60637-1443 | 2008-08-06 |
| 1104012053 | Mukesh M. Doshi, M.d., S.c. | Pediatrics | 1768 Moon Lake Blvd, Suite 206, Hoffman Estates, IL 60169 | 2007-09-24 |
| 1740483627 | Priti M. Patel | Pediatrics | 530 Ne Glenoak Ave, Peoria, IL 61603-3133 | 2007-06-07 |
| 1134241383 | Ep Consultation, Ltd | Pediatrics | 910 W Van Buren St, Ste 226, Chicago, IL 60607-3523 | 2007-04-06 |
| 1487787818 | Fairview Heights Medical Group Sc | Pediatrics | 11th and Broadway, 4th Floor, Quincy, IL 62301 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
| 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.