SAMINEH KHOSROWSHAHI (NPI# 1235185224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235185224 |
| Entity Type | Individual |
| Full Name | SAMINEH KHOSROWSHAHI |
| Credential | MD |
| Practice Address |
611 W. Park St. Neurology Urbana IL 61801-2500 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173833440 |
| Practice Fax Number | 2173833171 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036113474 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036113474 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Austin St, Ste 363, East Tower, Evanston, IL 60202 | 8473167055 |
| Street Address |
611 W. PARK ST. NEUROLOGY |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683391 | Marshall Blake Hay | Radiology | 611 W. Park St., Radiology, Urbana, IL 61801-2530 | 2005-07-15 |
| 1780204685 | Kaitlynn Geiger | Physical Therapist | 611 W. Park St., Fapc, Urbana, IL 61801 | 2020-04-21 |
| 1134758758 | Ellen R Leskovisek | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2020-04-06 |
| 1568006542 | Whitney R Streitmatter | Dietitian, Registered | 611 W. Park St., Fapc, Urbana, IL 61801 | 2019-11-01 |
| 1174165310 | Brett A Fulks | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-10-09 |
| 1932756194 | Carissa Cole | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-08-22 |
| 1316593221 | Xiaoyu Zhang | Speech-Language Pathologist | 611 W. Park St., Urbana, IL 61801 | 2019-08-15 |
| 1144789264 | Hannah Dignan | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-03-18 |
| 1639644982 | Katrina Osana | Physical Therapist | 611 W. Park St., Urbana, IL 61801 | 2018-10-12 |
| 1033684170 | Kourtney L Steinkamp | Nurse Practitioner | 611 W. Park St., Hvi, Urbana, IL 61801 | 2018-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144660572 | Peter Wrigley | Psychiatry & Neurology | 611 W Park St, Urbana, IL 61801-2529 | 2013-06-29 |
| 1710150818 | Bethanie Nichole Morgan | Psychiatry & Neurology | 611 W Park St, Urbana, IL 61801-2529 | 2008-04-09 |
| 1215105192 | Graham Rowell Huesmann | Psychiatry & Neurology | 611 W Park St, Urbana, IL 61801-2500 | 2008-02-13 |
| 1689879314 | Rong Chen | Psychiatry & Neurology | 602 W. University Avenue, Neurology, Urbana, IL 61801 | 2007-06-21 |
| 1457460057 | Robert E Cranston | Psychiatry & Neurology | 602 W. University Avenue, Neurology, Urbana, IL 61801 | 2006-08-29 |
| 1528089067 | Patricia J Mcnussen | Psychiatry & Neurology | 611 W Park St, Neurology, Urbana, IL 61801-2500 | 2006-07-21 |
| 1023043098 | Harry L Bremer | Psychiatry & Neurology | 602 W. University Avenue, Neurology, Urbana, IL 61801 | 2006-07-11 |
| 1285669911 | Charles R Davies | Psychiatry & Neurology | 602 W. University Avenue, Neurology, Urbana, IL 61801 | 2006-07-11 |
| 1316971153 | Kenneth S Aronson | Psychiatry & Neurology | 611 W Park St, Urbana, IL 61801-2529 | 2006-07-10 |
| 1790768141 | Daniel Adolfo Llano | Psychiatry & Neurology | 611 W. Park St., Neurology, Urbana, IL 61801-2500 | 2005-11-21 |
| Find all providers in URBANA | ||||
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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.