USHASRI KOGANTI MDSC


Address: 1129 Columbus St, Ottawa, IL 61350
Phone: 8153432048

USHASRI KOGANTI MDSC (NPI# 1255448460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255448460
Entity Type Organization
Organization Name USHASRI KOGANTI MDSC
Practice Address 1129 Columbus St
Ottawa
IL 61350
Practice Telephone 8153432048
Practice Fax Number 8154342177
Mailing Telephone 8153432048
Mailing Fax Number 8154342177
Enumeration Date 2006-08-24
Last Update Date 2010-11-19
Authorized Official Name DR. USHASRI KOGANTI (PHYSICIAN)
Authorized Official Telephone 8154342048
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036-096808 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036-096808 05

Office Location

Street Address 1129 COLUMBUS ST
City OTTAWA
State IL
Zip Code 61350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992917009 Ushasri Koganti Family Medicine 1129 Columbus St, Ottawa, IL 61350-2106 2007-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306336359 Yulandist Jeannie Brown Licensed Practical Nurse 617 Columbus St, Ottawa, IL 61350 2018-05-15
1881071272 Ashlee Herbold Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1718 N 2525th Rd, Ottawa, IL 61350 2015-05-05
1053702365 Wanda Rohl Social Worker 3735 E 1453 Rd, Ottawa, IL 61350 2015-02-09
1538550868 Erin Rose Boe Physical Therapist 2872 Columbus St, Unit 300, Ottawa, IL 61350 2015-02-09
1346572757 Rebecca Samolitis Counselor 116 W Lafayette St, Suite 8, Ottawa, IL 61350 2010-02-10
1235383266 Timothy I Miller O.d. P.C. Optometrist 107 E. Mckinley Rd., Ottawa, IL 61350 2008-11-04
1427204676 Leo John Meagher Counselor 218 West Madison St, Ottawa, IL 61350 2008-08-07
1598938755 Radiation Oncology of Northern Illinois LLC Radiology 1200 Starfire Dr, Ottawa, IL 61350 2008-04-09
1154538510 Serenityonwheels, Inc. Counselor Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 2007-05-16
1205040904 Dixie Devry Occupational Therapist 2532 Reynolds Manor, Ottawa, IL 61350 2007-05-10
Find all providers in zip 61350

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023558541 Ottawa Family Physicians, Chartered Family Medicine 120 E 19th St Ste A, Ottawa, KS 66067-4300 2017-03-02
1922487958 German Gonzalo Family Medicine 30 Oaklane Dr, Ottawa, IL 61350-1135 2015-05-22
1376775205 Melchor Paulo A Aranas Family Medicine 1306 Gemini Cir Ste 1, Ottawa, IL 61350-1695 2009-08-11
1992954226 Amit Garg Ltd. Family Medicine 1232 Edna Cir, Ottawa, IL 61350-9143 2008-09-10
1174785133 Katelyn Ann Leopold Family Medicine 1740 N Perry St Ste A, Ottawa, OH 45875-1173 2008-06-30
1689841900 Jennifer R Maag Family Medicine 102 Putnam Pkwy, Ottawa, OH 45875-8657 2008-05-15
1548486251 Cristine Lorraine Goodwin Family Medicine 1428 S Main St Ste 4, Ottawa, KS 66067-3547 2007-04-18
1326094673 Victoria E Manfredi Family Medicine Access Medical Center, 2525 Carling Avenue, Ottawa, ON K2B7Z2 2006-05-26
1538118559 Jeffrey S Eiden Family Medicine 1740 N Perry St, Suite A, Ottawa, OH 45875-1173 2006-05-08
1760449938 Adeyemi Oludare Fatoki Family Medicine 315 E Mckinley Rd, Ottawa, IL 61350-4805 2006-04-28
Find all providers in OTTAWA

Competitor

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City OTTAWA
Zip Code 61350

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Dataset Information

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.

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