BARBARA ANN SUDHOLT (NPI# 1780735308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780735308 |
| Entity Type | Individual |
| Full Name | BARBARA ANN SUDHOLT |
| Credential | M.D. |
| Practice Address |
340 W Lincoln St Ste 300 Belleville IL 62220-1900 |
| Practice Telephone | 6182354883 |
| Practice Fax Number | 6182359573 |
| Mailing Telephone | 6182354883 |
| Mailing Fax Number | 6182359573 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
36078217 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
36078217 | IL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
36078217 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | AETNA | 4466070 | 01 |
| IL | HEALTHLINK | 122577 | 01 |
| IL | CIGNA | 2210404001 | 01 |
| IL | UNITED HEALTHCARE | 48-09006 | 01 |
| IL | FEDERAL BLUE CROSS | 08215136 | 01 |
| MO | BLUE CHOICE OF MISSOURI | BLC21543 | 01 |
| IL | TRICARE | L013062 | 01 |
| IL | HARMONY | 235930 | 01 |
| MO | ANTHEM | 28568 | 01 |
| IL | 36078217 | 05 | |
| IL | BCBS OF IL | 8215136 | 01 |
| IL | HEALTH ALLIANCE | 88170 | 01 |
| IL | RAILROAD MEDICARE | CF6007 | 01 |
| IL | HEALTH PARTNERS | 300242 | 01 |
| IL | PRUDENTIAL | 371067092003 | 01 |
| Street Address |
340 W LINCOLN ST STE 300 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649321183 | Ventrapragada S Mohan | Internal Medicine | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-12 |
| 1760534945 | Southern Illinois Pulmonary Consultants, Ltd. | Specialist | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1386986578 | Salik Karim Choudhary | Internal Medicine | 4600 Memorial Dr Ste 200, Belleville, IL 62226-5363 | 2013-03-26 |
| 1619224235 | James V. Vest, Md, Ltd | Internal Medicine | 4600 Memorial Dr, Ste. 120, Belleville, IL 62226-5368 | 2012-08-14 |
| 1114231586 | Msa Alliance, LLC | Internal Medicine | 4600 Memorial Dr, Ste 120, Belleville, IL 62226-5368 | 2010-07-28 |
| 1720174246 | Wilman Ortega Perez | Internal Medicine | 4600 Memorial Dr, Ste. 200, Belleville, IL 62226-5368 | 2006-10-04 |
| 1053417238 | Eduardo Martinez-barrios | Internal Medicine | 4600 Memorial Dr, Suite 120, Belleville, IL 62226-5366 | 2006-09-15 |
| 1891778221 | Abdulsalam Jamous | Internal Medicine | 4600 Memorial Dr, Ste. 120, Belleville, IL 62226-5368 | 2005-11-21 |
| 1871599738 | Douglas Dothager | Internal Medicine | 4600 Memorial Dr, Ste. 120, Belleville, IL 62226-5368 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636202 | Pulmonary Associates Ltd | Internal Medicine | 71 W 156th St Ste 203, Harvey, IL 60426-4262 | 2019-08-28 |
| 1336516467 | Hesham A. Hassaballa, Md, Ltd | Internal Medicine | 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 | 2015-08-24 |
| 1497141394 | Pulmonary and Critical Care Solutions, LLC | Internal Medicine | 6116 N 2200 East Rd, Downs, IL 61736-9459 | 2015-04-08 |
| 1558771220 | Christopher Charles Sutton | Internal Medicine | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2014-05-05 |
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1992050850 | Thomas Christopher Draghi | Internal Medicine | 155 Linden Ave, Oak Park, IL 60302-2610 | 2012-07-17 |
| 1144586041 | Robert T Zeck | Internal Medicine | 13141 Lake Mary Dr, Plainfield, IL 60585-2650 | 2012-04-04 |
| 1508160359 | Aziz Rahman Md Facp PC | Internal Medicine | 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 | 2011-01-07 |
| 1811211774 | Vitalcare Medical Sc | Internal Medicine | 1146 S Waukegan Rd, Waukegan, IL 60085-6731 | 2010-03-22 |
| 1508095605 | Farhan Zaidi | Internal Medicine | 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 | 2009-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.