SUBBIA G JAGANNATHAN (NPI# 1184679953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184679953 |
| Entity Type | Individual |
| Full Name | SUBBIA G JAGANNATHAN |
| Credential | M.D. |
| Practice Address |
695 N Kellogg St Galesburg IL 61401-2807 |
| Mailing Address |
Po Box 989 Galesburg IL 61402-0989 |
| Practice Telephone | 3093454219 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036046940 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360469401 | 05 | |
| IL | RAILROAD MEDICARE | 300026080 | 01 |
| Street Address |
695 N KELLOGG ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875145 | Jeffrey Hill | Family Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2005-07-18 |
| 1992337000 | Sanburg Emergency Group, P.C. | Physician Assistant | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2020-02-06 |
| 1740794536 | Nes Michigan Inc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2017-12-01 |
| 1770037251 | Cynthia Dawn Raya | Nurse Practitioner | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-08-12 |
| 1316399967 | Clinical Colleagues Inc | Anesthesiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-07-07 |
| 1801242474 | Hospital Care Consultants of Galesburg, Inc | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-05-12 |
| 1003285032 | Patricia Ann Rice | Nurse Practitioner | 695 N Kellogg St, Emergency Department, Galesburg, IL 61401-2807 | 2015-09-21 |
| 1225414667 | Ryan James Bonham | Nurse Anesthetist, Certified Registered | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2015-08-08 |
| 1295000677 | Syed Moazzam Najeeb | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2012-03-18 |
| 1154623429 | Comprehensive Emergency Solutions II Sc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2010-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| 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 |
|---|---|---|---|---|
| 1285667311 | Galesburg Radiology Associates, S.c. | Radiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-07-09 |
| 1154369478 | Stephen E Lehnert | Radiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-06-02 |
| 1063450385 | Muhammed S Anwer | Radiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
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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.