MANOJ KOHLI (NPI# 1215948146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215948146 |
| Entity Type | Individual |
| Full Name | MANOJ KOHLI |
| Credential | MD |
| Practice Address |
100 Deerpath Charleston IL 61920 |
| Mailing Address |
1005 Health Center Dr Ste 201 Mattoon IL 61938-4653 |
| Practice Telephone | 2173452405 |
| Practice Fax Number | 2173452406 |
| Mailing Telephone | 2172386055 |
| Mailing Fax Number | 2172582216 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036127290 | IL | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
35622 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64-021496 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 727 E Court St, Paris, IL 619442460 | 2174658411 | 2174633184 |
| 100 Deerpath, Charleston, IL 619209427 | 2173452405 | 2173452406 |
| 1001 Health Center Dr, Mattoon, IL 619384693 | 2172582250 |
| Street Address |
100 DEERPATH |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396713780 | Jeffrey K Mckenna | Dermatology | 100 Deerpath, Charleston, IL 61920-9427 | 2006-03-10 |
| 1558613489 | Bella Family Health and Wellness, LLC | Family Medicine | 100 Deerpath, Charleston, IL 61920-9427 | 2012-10-02 |
| 1326207184 | James D Pitts | Physician Assistant | 100 Deerpath, Charleston, IL 61920-9427 | 2008-06-06 |
| 1881872984 | Maria Horvat Md Sc | Obstetrics & Gynecology | 100 Deerpath, Charleston, IL 61920-9427 | 2008-01-31 |
| 1932386505 | James M Kohlmann Md Sc | Orthopaedic Surgery | 100 Deerpath, Charleston, IL 61920-9427 | 2008-01-26 |
| 1417072422 | Michael Gillmore | Registered Nurse | 100 Deerpath, Charleston, IL 61920-9427 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1952449290 | Sofia Aksentijevich | Internal Medicine | 14 E Farmfield Avenue, Charleston, SC 29407-7757 | 2007-02-01 |
| 1881782266 | Erica Anderson | Internal Medicine | 14 Farmfield Ave Ste E, Charleston, SC 29407-7757 | 2006-10-10 |
| 1053843524 | Ana Elizabeth Tucker | Internal Medicine | 169 Ashley Ave, Charleston, SC 29425-2734 | 2017-04-03 |
| 1386005296 | Whitney Elg-salsman | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-03-19 |
| 1144642836 | Celine Ward | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-1461 | 2014-01-14 |
| 1114361961 | Charles Matthew Justice | Internal Medicine | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2013-04-23 |
| 1265798722 | Deanna Andrea Baker Frost | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425 | 2012-04-09 |
| 1578831939 | Carlysle Barfield, Md, LLC | Internal Medicine | 4 Carriage Ln, Suite 400 E, Charleston, SC 29407-6065 | 2011-12-13 |
| 1972747293 | Katherine Culp Silver | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-1900 | 2009-04-30 |
| 1295987485 | University Medical Associates | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-21 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
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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.