HARISH KEMPEGOWDA (NPI# 1205280922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205280922 |
| Entity Type | Individual |
| Full Name | HARISH KEMPEGOWDA |
| Credential | MD |
| Practice Address |
3331 W Deyoung St Ste 201 Marion IL 62959 |
| Mailing Address |
3331 W Deyoung St Ste 201 Marion IL 62959-5897 |
| Practice Telephone | 6189674184 |
| Practice Fax Number | 6189987023 |
| Mailing Telephone | 6189674184 |
| Mailing Fax Number | 6189987023 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036150050 | IL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 60441 | CT | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 295309 | NY | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036150050 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1160 Park Ave, New York, NY 101281212 | 2128765200 | 2128764440 |
| 31 River Rd Ste 100, Cos Cob, CT 06807 | 2038632003 | |
| 3331 W Deyoung St Ste 201, Marion, IL 62959 | 6189674184 | 6189987023 |
| Street Address |
3331 W DEYOUNG ST STE 201 |
| City | MARION |
| State | IL |
| Zip Code | 62959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423904 | Memorial Management Inc | Durable Medical Equipment & Medical Supplies | 3331 W Deyoung St Ste 201, Marion, IL 62959-5897 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| 1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257442 | Samuel G. Meredith Md Pa | Orthopaedic Surgery | 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 | 2018-12-19 |
| 1710907498 | Ralph A Parks | Orthopaedic Surgery | 1209 Snider St, Marion, VA 24354-4221 | 2006-07-19 |
| 1013956325 | Samuel G. Meredith | Orthopaedic Surgery | 1231 State Highway 77 Ste 2, Marion, AR 72364-9045 | 2006-06-05 |
| 1447209127 | Marion Orthopedics Inc | Orthopaedic Surgery | 1043 Harding Memorial Parkway, Marion, OH 43302 | 2006-05-09 |
| 1699730226 | Robert Crowell | Orthopaedic Surgery | 1138 Independence Ave, Marion, OH 43302-6318 | 2006-04-18 |
| 1649243080 | David K. Halley | Orthopaedic Surgery | 1040 Delaware Avenue, Marion, OH 43302-6416 | 2006-02-08 |
| 1215395843 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2016-02-10 |
| 1972982759 | Mission Medical Associates, Inc. | Orthopaedic Surgery | 100 Spaulding Rd, Marion, NC 28752-5115 | 2015-05-26 |
| 1386049328 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2014-11-04 |
| 1619230802 | Marion Area Physicians LLC | Orthopaedic Surgery | 1040 Delaware Ave, Marion, OH 43302-6416 | 2012-06-21 |
| Find all providers in MARION | ||||
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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.