AMIT SHARMA (NPI# 1255738597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255738597 |
| Entity Type | Individual |
| Full Name | AMIT SHARMA |
| Credential | MD |
| Practice Address |
405 W Jackson St Carbondale IL 62901-1462 |
| Practice Telephone | 6185490721 |
| Practice Fax Number | 6185290549 |
| Mailing Telephone | 6185490721 |
| Mailing Fax Number | 6185290549 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2019046604 | MO | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
036149337 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MULTI SPECIALTY GROUP | 214881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386085975 | Amit Bhushan Sharma | Internal Medicine | 1505 N Peoria Ave # Appt806, Peoria, IL 61603-3140 | 2013-07-10 |
| 1629210836 | Amit Sharma | Colon & Rectal Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2009-04-02 |
| 1023646817 | Amit Sharma | Student in an Organized Health Care Education/Training Program | 102 Irving St Nw, Washington, DC 20010-2921 | 2020-03-29 |
| 1063061349 | Amit Sharma | Occupational Therapist | 4180 Sage Bluff Xing, Fort Wayne, IN 46804-2363 | 2019-09-09 |
| 1295294791 | Amit Sharma | Behavioral Analyst | 1149 A St, Hayward, CA 94541-4113 | 2019-03-14 |
| 1922528728 | Amit Kumar Sharma | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Tpke Dept Of, East Meadow, NY 11554-1859 | 2017-06-22 |
| 1235514555 | Amit Kumar Sharma | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2015-07-28 |
| 1295149102 | Amit Sharma | Family Medicine | 100 John Roemmelt Dr Ste 301, Horseheads, NY 14845-8304 | 2014-06-18 |
| 1235578394 | Amit Sharma | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-06-21 |
| 1508153685 | Amit Kumar Sharma | Radiology | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2011-07-08 |
| Street Address |
405 W JACKSON ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726851 | Shahriar Bozorgzadeh | Emergency Medicine | 405 W Jackson St, Carbondale, IL 62901-1462 | 2005-08-03 |
| 1568071132 | Cynthia Sue Davis | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-07-29 |
| 1629686019 | Dianne Zuasula Catolos | Physical Therapist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-07-21 |
| 1871113696 | Summer R Black | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-04-22 |
| 1871123067 | Hailee Elizabeth Bowlin | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-01-16 |
| 1972061737 | Briana Nichole Jones | Speech-Language Pathologist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2019-03-11 |
| 1700362183 | John Grady Johnston Jr. | Registered Nurse | 405 W Jackson St, Carbondale, IL 62901 | 2018-07-18 |
| 1972099067 | Andrew Mcnally | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-07-02 |
| 1134610587 | Megan E Sims | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-22 |
| 1447749833 | Erika Diericx | Pharmacist | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282137 | Castle Valley Children's Clinic | Pediatrics | 2615 Dolores Way Unit 103, Carbondale, CO 81623-2238 | 2019-09-03 |
| 1023582038 | Pediatric Group LLC | Pediatrics | 900 E Walnut St Ste 6, Carbondale, IL 62901-3132 | 2019-01-14 |
| 1336416619 | Wayne Memorial Community Health Centers | Pediatrics | 152 Brooklyn St, Carbondale, PA 18407-2208 | 2011-11-30 |
| 1356586119 | Geisinger Clinic | Pediatrics | 42 North Scott St, Carbondale, PA 18407-0000 | 2008-12-09 |
| 1518009414 | Maxis Medical Services | Pediatrics | 42 N Scott St, Carbondale, PA 18407-1888 | 2007-02-14 |
| 1871517466 | Paul F Ploegman | Pediatrics | 1111 Cedar Ct, Carbondale, IL 62901-5333 | 2006-07-27 |
| 1669445755 | Alexander J Pinsky | Pediatrics | 141 Salem Ave Ste 302, Carbondale, PA 18407-2500 | 2006-02-09 |
| 1710225263 | Tomas Ignacio Munoz | Pediatrics | 405 W Jackson St, Carbondale, IL 62901-1462 | 2013-01-17 |
| 1467711796 | Lukasz Dabrowski | Pediatrics | 2601 W Main St, Carbondale, IL 62901-1031 | 2012-05-07 |
| 1881980233 | Izaskun Melania Iglesias | Pediatrics | 101 S Wall St, Carbondale, IL 62901-3021 | 2011-06-23 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.