AMIT VYAS (NPI# 1063627214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063627214 |
| Entity Type | Individual |
| Full Name | AMIT VYAS |
| Credential | MD |
| Practice Address |
2200 Fort Jesse Road Ste. 280 Normal IL 61761-6289 |
| Mailing Address |
2200 Fort Jesse Road Suite 280 Normal IL 61761-6289 |
| Practice Telephone | 7309452178 |
| Practice Fax Number | 3098621302 |
| Mailing Telephone | 3094521788 |
| Mailing Fax Number | 3098621302 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036.123244 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301081953 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036123244 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861591356 | Amit D Vyas | Internal Medicine | 2315 E 93rd St Ste 236, Chicago, IL 60617-3984 | 2006-09-21 |
| Street Address |
2200 FORT JESSE ROAD STE. 280 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-6289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104333491 | Ft. Jesse Imaging Center LLC | Radiology | 2200 Fort Jesse Rd, Normal, IL 61761-6286 | 2018-01-08 |
| 1114169893 | Pooria Javadi | Radiology | 2200 Fort Jesse Rd, Ste 280, Normal, IL 61761-6286 | 2009-03-27 |
| 1386683076 | Kendall L Wong | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-06-06 |
| 1316986466 | William L Ray | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-06-05 |
| 1265471486 | Jonathan M Foss | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-06-05 |
| 1942249131 | Adrian M Cordoba | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-06-05 |
| 1083653117 | Chung H Lee | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-06-05 |
| 1912946153 | Richard P Puckett | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-06-05 |
| 1972559912 | William E Cooley | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-05-25 |
| 1043266018 | Carlos P Capati | Radiology | 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | 2006-05-25 |
| Find all providers in NORMAL | ||||
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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.