DR. ARJUN SIVARAMAN (NPI# 1083067250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083067250 |
| Entity Type | Individual |
| Full Name | DR. ARJUN SIVARAMAN |
| Credential | MD |
| Practice Address |
2 Memorial Dr Ste 205 Alton IL 62002-6723 |
| Mailing Address |
660 S Euclid Ave Cb 8109 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143628200 |
| Practice Fax Number | 3143622203 |
| Mailing Telephone | 3143628200 |
| Mailing Fax Number | 3143622203 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036147515 | IL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 036147515 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED WUPI | 05 | |
| MO | 200062816 | 05 |
| Street Address |
2 MEMORIAL DR STE 205 |
| City | ALTON |
| State | IL |
| Zip Code | 62002-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963063 | Ahmad A Karadaghy | Internal Medicine | 2 Memorial Dr, Suite 202, Alton, IL 62002-6723 | 2005-09-21 |
| 1518437672 | Kelsey Marie Browne | Nurse Practitioner | 2 Memorial Dr, Suite 205, Alton, IL 62002-6723 | 2018-12-03 |
| 1093258154 | Msa Alliance, LLC | Surgery | 2 Memorial Dr, Suite 201, Alton, IL 62002-6723 | 2016-11-22 |
| 1437523677 | Krista Ludwig | Nurse Practitioner | 2 Memorial Dr, Suite 202, Alton, IL 62002-6723 | 2015-11-28 |
| 1518337815 | Gastroenterology Medical Consultants, P.C. | Specialist | 2 Memorial Dr, Suite 202, Alton, IL 62002-6723 | 2015-09-29 |
| 1700275120 | Megan Bagheri | Nurse Practitioner | 2 Memorial Dr, Ste. 220, Alton, IL 62002-6723 | 2015-01-22 |
| 1487971537 | Lorraine Rosenthal Seiffert | Nurse Practitioner | 2 Memorial Dr, Ste 101, Alton, IL 62002-6723 | 2010-04-29 |
| 1477882454 | Christine Meredith Harlan | Registered Nurse | 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 | 2009-12-21 |
| 1750547352 | Donald William Buck II | Plastic Surgery | 2 Memorial Dr, Ste 101, Alton, IL 62002-6723 | 2008-08-03 |
| 1437323201 | Wang Cardiology Ltd | Clinic/Center | 2 Memorial Dr, Alton, IL 62002-6723 | 2008-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285815126 | Stein Urology, S C | Urology | 2 Memorial Dr, Suite 101, Alton, IL 62002-6723 | 2007-11-20 |
| 1689717621 | Fairview Heights Medical Group Sc | Urology | 2 Memorial Dr, Suite 101, Alton, IL 62002-6723 | 2007-02-15 |
| 1588682272 | Alan Joel Stein | Urology | 2 Memorial Dr, Suite 101, Alton, IL 62002-6723 | 2006-07-18 |
| 1740227784 | Soo I Cho | Urology | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
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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.