RAVISHANKER VYAS


Address: 1036 W Stephenson St, Freeport, IL 61032-4865
Phone: 8155997100

RAVISHANKER VYAS (NPI# 1861468076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861468076
Entity Type Individual
Full Name RAVISHANKER VYAS
Credential MD
Practice Address 1036 W Stephenson St
Freeport
IL 61032-4865
Mailing Address 421 W Exchange St
Po Box 268
Freeport
IL 61032-4030
Practice Telephone 8155997100
Mailing Telephone 8155997950
Enumeration Date 2006-02-27
Last Update Date 2017-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
036064141 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036064141 05

Office Location

Street Address 1036 W STEPHENSON ST
City FREEPORT
State IL
Zip Code 61032-4865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457337016 Freeport Regional Health Care Foundation Allergy & Immunology 1036 W Stephenson St, Freeport, IL 61032-4865 2005-12-15
1881167278 Advanced Dermatology Clinic, Inc. Dermatology 1036 W Stephenson St, Freeport, IL 61032-4865 2019-01-08
1992223895 Cassandra K Reed Nurse Practitioner 1036 W Stephenson St, Freeport, IL 61032-4865 2017-08-31
1396170205 Jack S Harweger Registered Nurse 1036 W Stephenson St, Freeport, IL 61032-4865 2013-09-10
1902134281 Swedishamerican Hospital Thoracic Surgery (Cardiothoracic Vascular Surgery) 1036 W Stephenson St, Freeport, IL 61032 2009-11-25
1326183492 Freeport Regional Health Care Foundation Hearing Aid Equipment 1036 W Stephenson St, Freeport, IL 61032-4865 2007-02-20
1245300821 Toni Marie Levine Specialist 1036 W Stephenson St, Freeport, IL 61032-4865 2006-11-09
1417046020 Rafael R Castro Surgery 1036 W Stephenson St, Freeport, IL 61032-4865 2006-10-12
1336115534 Bhadresh A Patel Internal Medicine 1036 W Stephenson St, Freeport, IL 61032-4865 2006-02-27
1053387472 Eugene M Gaertner Internal Medicine 1036 W Stephenson St, Freeport, IL 61032-4865 2006-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013517713 Saad Awan Pharmacist 2545 Illinois 26 S, Freeport, IL 61032 2020-10-30
1891354460 Freeport Chiropractic LLC Chiropractor 2 W Stephenson St, Freeport, IL 61032 2019-06-07
1487168373 Lindsey Rae Harris-baker Speech-Language Pathologist 1802 W Laurel St, Freeport, IL 61032 2017-11-30
1861871246 Pearl Pavilion LLC Skilled Nursing Facility 910 Kiwanis Drive, Freeport, IL 61032 2015-05-19
1245584598 Mary E Brown Massage Therapist 815 W. Pleasant Street, Freeport, IL 61032 2012-11-07
1700135803 April Braband Specialist 421 Exchange, Freeport, IL 61032 2012-09-05
1518198662 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 1013 W Loras Dr, Suite A, Freeport, IL 61032 2009-08-06
1447486501 Gary Alan Besley Dentist 1450 S. West Ave., Freeport, IL 61032 2009-06-03
1023244290 Allies In Health Sc Chiropractor 418 W Meadows Dr., Freeport, IL 61032 2009-06-02
1912146614 Kayla Nicole Rodebaugh Specialist/Technologist 1010 Fairway Drive, Freeport, IL 61032 2009-02-19
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508006453 Richard Ferstenberg, Md, PC Internal Medicine 424 Atlantic Ave, Freeport, NY 11520-5217 2009-03-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013487388 Endoscopy Center of The North Shore, LLC Internal Medicine 1100 Central Ave Ste H, Wilmette, IL 60091-2666 2018-11-29
1104303296 Amanda Israel Internal Medicine 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 2018-07-23
1861999559 Kiba, Inc. Internal Medicine 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 2018-04-09
1447765888 David Henoch Barch Internal Medicine 3431 N Leavitt St, Chicago, IL 60618-6013 2017-12-07
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1205218658 Ye Eun Kwak Internal Medicine 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 2015-06-22
1699186890 Laura Hamad Internal Medicine 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 2014-05-11
1154749042 Joshua Michael Steinberg Internal Medicine 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 2014-03-28
1841533254 Danish Shahab Internal Medicine 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 2013-04-03
1447599311 Seymour Marshall Sabesin Internal Medicine 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 2013-02-12
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Competitor

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City FREEPORT
Zip Code 61032

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Dataset Information

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.

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