KUPPUSWAMY JAGARLAMUDI (NPI# 1194995357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194995357 |
| Entity Type | Individual |
| Full Name | KUPPUSWAMY JAGARLAMUDI |
| Credential | M.D. |
| Practice Address |
1000 Health Center Dr Mattoon IL 61938-9253 |
| Practice Telephone | 2172582250 |
| Practice Fax Number | 2172582249 |
| Mailing Telephone | 2172582250 |
| Mailing Fax Number | 2172582249 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2011-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 247809 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036-128607 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1000 HEALTH CENTER DR |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-9253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477004 | Lynn Raoul Dale | Radiology | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2005-09-13 |
| 1003426974 | Vincent P Cagungun | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1457961328 | Amber Leigh Craven | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1861017485 | Gwendolyn Janes | Pharmacist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-06-09 |
| 1194347724 | Erin Smitley | Dietitian, Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-05-18 |
| 1649805623 | Kimberly Sikorski | Nurse Practitioner | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-03-10 |
| 1891329280 | Kiersten Emberton | Hospitalist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-02-25 |
| 1255977468 | Lauren Heaton | Physical Therapist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-11-22 |
| 1295371599 | Molly Dyer | Occupational Therapist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-11-21 |
| 1497305908 | Dana Sautter | Physician Assistant | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881784262 | John David Schmale | Internal Medicine | 1000 Health Center Drive, Mattoon, IL 61938 | 2006-10-13 |
| 1295841492 | Edward Crew Hoppin | Internal Medicine | 1000 Health Center Dr, Oncology Department, Mattoon, IL 61938-9253 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KUPPUSWAMY JAGARLAMUDI.
| 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.