DR. PALANIAPPAN SUPPIAH (NPI# 1902986730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902986730 |
| Entity Type | Individual |
| Full Name | DR. PALANIAPPAN SUPPIAH |
| Credential | MD |
| Practice Address |
1321 W Whittaker St Salem IL 62881-2013 |
| Mailing Address |
1201 Ricker Rd Salem IL 62881-4263 |
| Practice Telephone | 6185480466 |
| Practice Fax Number | 6185484512 |
| Mailing Telephone | 6185483194 |
| Mailing Fax Number | 6185486800 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036062337 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036062337 | 05 | |
| IL | FEDERAL DEA | AS1187106 | 01 |
| Street Address |
1321 W WHITTAKER ST |
| City | SALEM |
| State | IL |
| Zip Code | 62881-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477593705 | Kimberly Victoria Barnes Reames | Internal Medicine | 1321 W Whittaker St, Salem, IL 62881-2013 | 2006-06-07 |
| 1649830472 | Salem Township Hospital | Clinic/Center | 1321 W Whittaker St, Salem, IL 62881-2013 | 2019-06-14 |
| 1629433784 | Salem Township Hospital | Nurse Practitioner | 1321 W Whittaker St, Salem, IL 62881-2013 | 2015-12-16 |
| 1548490360 | Miriam A. Baumgart | Internal Medicine | 1321 W Whittaker St, Salem, IL 62881-2013 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
| 1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
| 1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
| 1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| 1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
| 1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
| 1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
| 1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
| Find all providers in zip 62881 | ||||
| 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. |
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|---|---|---|---|---|
| 1831708916 | P3 Health Partners-oregon LLC | Internal Medicine | 2525 12th St Se Ste 240250, Salem, OR 97302-2281 | 2020-07-24 |
| 1285279042 | Gaps Health Or PC | Internal Medicine | 780 Commercial St Se Ste 100, Salem, OR 97301-3465 | 2019-11-15 |
| 1427476753 | Lee Austin Fredrickson Jr. | Internal Medicine | 2020 E State St Ste C, Salem, OH 44460-2479 | 2014-04-03 |
| 1407119381 | Christina Joy Mckinnis | Internal Medicine | 27 Silverbrook Rd, Salem, NH 03079-4067 | 2012-06-16 |
| 1124331392 | Xi Zheng | Internal Medicine | 1049 Edgewater St Nw, Salem, OR 97304-4046 | 2010-07-16 |
| 1578894689 | Gary D Ollbrich Inc | Internal Medicine | 1044 Commercial St Se, Salem, OR 97302-4112 | 2010-01-29 |
| 1700114105 | Edward W Cipolla Do Pa | Internal Medicine | 330 Woodstown Rd Ste 1, Salem, NJ 08079-2093 | 2009-11-23 |
| 1053568592 | Garry Tim Miller II | Internal Medicine | 555 W Sr 164 North, Salem, UT 84653-1666 | 2008-08-27 |
| 1275700825 | Jatinder Aujla | Internal Medicine | 55 Highland Ave Ste 304, Salem, MA 01970-2100 | 2008-05-13 |
| 1780889386 | Ryan D Zaklin | Internal Medicine | 84 Highland Ave Ste 311, Salem, MA 01970-2733 | 2007-06-15 |
| Find all providers in SALEM | ||||
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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.