SHUBHANGI SHAHAJI PECHE (NPI# 1063681336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063681336 |
| Entity Type | Individual |
| Full Name | SHUBHANGI SHAHAJI PECHE |
| Credential | M.D. |
| Practice Address |
301 N 8th St Suite Pav 4a Springfield IL 62701-1041 |
| Mailing Address |
Po Box 19658 Springfield IL 62794-9658 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175455018 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175455018 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2012-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2007007103 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
036-130157 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036130157 | 05 |
| Street Address |
301 N 8TH ST SUITE PAV 4A |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
| 1073148375 | Ashley Kirkpatrick | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2020-03-06 |
| 1699260299 | Eman Mosleh | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2018-06-26 |
| 1508370719 | Linsey Meloche | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2017-11-27 |
| 1649789736 | Nichole Kristine Chatham | Occupational Therapist | 301 N 8th St, Springfield, IL 62701-1041 | 2017-09-21 |
| 1174075147 | Loralee Donnelly | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701 | 2016-10-26 |
| 1740639533 | Matthew Leland Davis | Urology | 301 N 8th St, Springfield, IL 62701-1041 | 2016-06-13 |
| 1578910741 | Bradley Christopher Holland | Urology | 301 N 8th St, 4b143c, Springfield, IL 62701-1041 | 2016-05-18 |
| 1295182467 | Meredith Volle | Pediatrics | 301 N 8th St, 4a, Springfield, IL 62701-1041 | 2016-05-18 |
| 1205299542 | Rebecca S. Vanmeter | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810082 | Michael R Pranzatelli | Psychiatry & Neurology | Southern Illinois University Healthcare Administration, Springfield, IL 62794 | 2005-12-05 |
| 1619382645 | Dusit Adstamongkonkul | Psychiatry & Neurology | 1000 E Primrose St Ste 200, Springfield, MO 65807 | 2014-06-28 |
| 1700146792 | Adam J David | Psychiatry & Neurology | 50 Wason Avenue, Springfield, MA 01107-1274 | 2012-05-23 |
| 1619289311 | Jacqueline A. Hauer | Psychiatry & Neurology | 1965 S Fremont Ave, Suite 130, Springfield, MO 65804-2201 | 2010-07-10 |
| 1023246600 | Jeffrey Russell Frank | Psychiatry & Neurology | 1 Hayden Bridge Way, Springfield, OR 97477-9747 | 2009-06-23 |
| 1811105331 | James J Collins | Psychiatry & Neurology | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2007-05-18 |
| 1366562159 | David C Dredge | Psychiatry & Neurology | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2007-03-29 |
| 1518058676 | Anthony H Jackson | Psychiatry & Neurology | 50 Wason Ave, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
| 1033200944 | Beth A. Rosen | Psychiatry & Neurology | 50 Wason Avenue, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
| 1255315065 | Theodore R Sunder | Psychiatry & Neurology | 421 N 9th St, Springfield, IL 62702-5317 | 2005-12-05 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.