RAJENDRA SHRIVASTAV (NPI# 1952378309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952378309 |
| Entity Type | Individual |
| Full Name | RAJENDRA SHRIVASTAV |
| Credential | MD |
| Practice Address |
1512 W Reynolds St Ste. B Pontiac IL 61764-9781 |
| Practice Telephone | 8158423023 |
| Practice Fax Number | 8158423241 |
| Mailing Telephone | 8158423023 |
| Mailing Fax Number | 8158423241 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians | |
| X | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1512 W REYNOLDS ST STE. B |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-9781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609064369 | Pro Podiatry, LLC | Podiatrist | 1512 W Reynolds St, Suite A, Pontiac, IL 61764-9781 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1417092602 | Kirk R Whyte | Emergency Medicine | 130 Seminole St, Pontiac, MI 48341-1673 | 2007-02-21 |
| 1255449393 | John Rinker | Emergency Medicine | 1515 W Reynolds St, Pontiac, IL 61764-9673 | 2006-08-28 |
| 1508889908 | Kenneth Velez | Emergency Medicine | 1306 N Ann St, Pontiac, IL 61764-1235 | 2006-07-26 |
| 1003890856 | Matthew Swayze | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| 1366936031 | Viktorija Petrovic | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-18 |
| 1215421904 | Robert Schulz | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-18 |
| 1174017958 | Andrew Mirocke | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-15 |
| 1265926018 | Duncan Mcguire | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-15 |
| 1124512058 | Zachary Jakubik | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-14 |
| Find all providers in PONTIAC | ||||
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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.