BRETT KUPONO PALAMA (NPI# 1992090575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992090575 |
Entity Type | Individual |
Full Name | BRETT KUPONO PALAMA |
Credential | MD |
Practice Address |
5721 S Maryland Ave Mc 8016 Chicago IL 60637-1425 |
Practice Telephone | 7737027553 |
Practice Fax Number | 7738340748 |
Mailing Telephone | 7737027553 |
Mailing Fax Number | 7738340748 |
Enumeration Date | 2011-06-13 |
Last Update Date | 2015-06-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | A135392 | CA | Allopathic & Osteopathic Physicians |
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
036.135467 | IL | Allopathic & Osteopathic Physicians |
Street Address |
5721 S MARYLAND AVE MC 8016 |
City | CHICAGO |
State | IL |
Zip Code | 60637-1425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942277322 | Jill Louise Olson De Jong | Pediatrics | 5721 S Maryland Ave, Comer Children's Hospital, Chicago, IL 60637-1425 | 2006-03-03 |
1245852730 | Stefanie Hayes | Registered Nurse | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-05-07 |
1598392169 | Ashley Mackey | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-03-24 |
1205499423 | Margaret Elizabeth Mcguire | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2019-04-15 |
1134635147 | Margaret Connors | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2017-12-28 |
1164871844 | Emily Batton | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-06-03 |
1043668098 | Ysabella Esteban | Pediatrics | 5721 S Maryland Ave, Mc 8016, K 155, Chicago, IL 60637-1425 | 2016-06-01 |
1801242367 | Elizabeth Watts Freeman | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-05-13 |
1619358868 | Catherine Berger | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637 | 2015-06-13 |
1124409743 | Juan Ricardo Barron Alemany | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2015-06-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
A pediatrician who has special qualifications to manage emergencies in infants and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255725164 | Princy Pathalil George | Pediatrics | 5730 S. Drexel Avenue, Mc 8029, Chicago, IL 60637 | 2015-03-28 |
1427391515 | Sriram Ramgopal | Pediatrics | 255 E Chicago Ave, Chicago, IL 60611-2605 | 2013-03-27 |
1720138779 | Alison S Tothy | Pediatrics | 5841 South Maryland Ave. 0810, Dept. of Pediatrics; Section of Pediatric Emergency Med, Chicago, IL 60637-1407 | 2007-01-11 |
1205890613 | Susan Miriam Fuchs | Pediatrics | 225 E Chicago Ave # 62, Chicago, IL 60611 | 2006-04-13 |
1508307752 | Destiny Deshawn Wilson | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2017-03-20 |
1407240914 | Amy Z. Zhou | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2015-03-23 |
1164860557 | Anisha Kshetrapal | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2013-06-07 |
1396011540 | Wee-jhong Chua | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2012-03-31 |
1558656108 | Leah Ruth Finkel | Pediatrics | 1740 W Taylor St, Chicago, IL 60612-7232 | 2011-06-12 |
1962677211 | Dana Doreen Aronson Schinasi | Pediatrics | 225 E Chicago Ave, Box 62, Chicago, IL 60611-2991 | 2008-04-28 |
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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.