DR. SHOBHA JAGADEESH (NPI# 1174538508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174538508 |
| Entity Type | Individual |
| Full Name | DR. SHOBHA JAGADEESH |
| Credential | MD |
| Practice Address |
144 Oxford Rd Oxford CT 06478-1982 |
| Mailing Address |
67 Maple Ave Derby CT 06418-1328 |
| Practice Telephone | 2038885527 |
| Practice Fax Number | 2038883727 |
| Mailing Telephone | 2037321330 |
| Mailing Fax Number | 2037321332 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 48170 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2678160 | 05 |
| Street Address |
144 OXFORD RD |
| City | OXFORD |
| State | CT |
| Zip Code | 06478-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962956623 | Amy Kate Jones | Nurse Practitioner | 144 Oxford Rd, Oxford, CT 06478-1982 | 2016-08-11 |
| 1154505733 | Valley Orthopaedic Specialists | Durable Medical Equipment & Medical Supplies | 144 Oxford Rd, Oxford, CT 06748 | 2007-12-19 |
| 1295851715 | Jessica A Suomala | Physical Therapist | 144 Oxford Rd, Oxford, CT 06478-1982 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528420270 | Kristin Grasso | Marriage & Family Therapist | 5a Silano Drive, Oxford, CT 06478 | 2016-03-22 |
| 1760609333 | Oxford Dental Associates | Dentist | 35 Old State Rd, Oxford, CT 06478 | 2007-04-18 |
| 1588660245 | Rx Care Pharmacies, Inc | Pharmacy | 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 | 2005-06-27 |
| 1164545349 | Anna Mary Hunt | Pharmacist | 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 | 2007-04-10 |
| 1952488520 | Cornerstone Medical Services LLC | Durable Medical Equipment & Medical Supplies | 115 Hurley Rd Ste 4a, Oxford, CT 06478-1046 | 2006-11-01 |
| 1548713746 | Price Chopper Inc | Pharmacy | 140 Main St, Oxford, CT 06478-1056 | 2016-07-25 |
| 1972850485 | Stan Peter Lisewski | Pharmacist | 4 Kerski Dr, Oxford, CT 06478-1170 | 2012-08-14 |
| 1356511521 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1 Jacks Hill Rd, Ste 1, Oxford, CT 06478-1190 | 2008-03-04 |
| 1992714208 | Renee Joyce Richardson | Nurse's Aide | 46 Towner Ln, Oxford, CT 06478-1211 | 2006-08-05 |
| 1407415052 | Mind Body Well Therapy, Pllc | Counselor | 160 Christian St, Oxford, CT 06478-1221 | 2019-06-07 |
| Find all providers in zip 06478 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427406362 | Andrew Clark Whittington | Internal Medicine | 81 Ed Perry Blvd Ste 107, Oxford, MS 38655-3465 | 2016-06-01 |
| 1487918900 | Seger Stacy Morris | Internal Medicine | 100 Baptist Memorial Cir Ste 200, Oxford, MS 38655-4476 | 2012-06-28 |
| 1184985244 | Brett Thomas Person | Internal Medicine | 1000 University Ave, House Number 5, Oxford, MS 38655-3966 | 2012-06-06 |
| 1124209986 | Margaret Swain-gray, M.d. | Internal Medicine | 2222 Old Baltimore Pike, Oxford, PA 19363 | 2007-11-21 |
| 1831389832 | Natalie M Lindell | Internal Medicine | 6 Allen Parkway, Oxford, AL 36203 | 2007-07-26 |
| 1790908721 | Sollage Pain Solutions of Fl | Internal Medicine | 1922 Mount Zion Rd, Oxford, GA 30054-2624 | 2007-04-10 |
| 1689769895 | Millennium Health Clinic | Internal Medicine | 1713 Hamric Dr E, Oxford, AL 36203-2015 | 2006-10-04 |
| 1801902309 | Milton D Hobbs | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2006-08-21 |
| 1215953963 | Steven A Herzig | Internal Medicine | 353 Niblick Ln, Oxford, CT 06478-3113 | 2006-07-14 |
| 1003855784 | Sidney K Pace | Internal Medicine | 2301 South Lamar Blvd., Oxford, MS 38655 | 2006-06-06 |
| Find all providers in OXFORD | ||||
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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.