DR. DEBASISH BHATTACHARYYA (NPI# 1265498778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265498778 |
Entity Type | Individual |
Full Name | DR. DEBASISH BHATTACHARYYA |
Credential | M.D. |
Practice Address |
5605 E. Rockton Road Northpointe Clinic Roscoe IL 61073-7601 |
Mailing Address |
1905 E. Huebbe Parkway Beloit Health System Inc Beloit WI 53511-1842 |
Practice Telephone | 8155254500 |
Practice Fax Number | 8155254505 |
Mailing Telephone | 6083642200 |
Mailing Fax Number | 6083645452 |
Enumeration Date | 2006-04-24 |
Last Update Date | 2016-12-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
52689-20 | WI | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036-139526 | IL | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35.087860 | OH | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
52689-20 | WI | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036-139526 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036139526001 | 05 | |
WI | 100004125 | 05 |
Street Address |
5605 E. ROCKTON ROAD NORTHPOINTE CLINIC |
City | ROSCOE |
State | IL |
Zip Code | 61073-7601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295282887 | Lauren K. Hart | Physical Therapist | 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 | 2016-09-01 |
1558633016 | Brittany J. Keyes | Physical Therapist | 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 | 2012-01-31 |
1366756132 | Gina C. Jay | Physical Therapist | 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 | 2010-08-03 |
1154501245 | Roger Kapoor | Dermatology | 5605 E. Rockton Road, Northpointe, Roscoe, IL 61073-7601 | 2007-11-06 |
1437167277 | Marek S Bentkowski | Family Medicine | 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 | 2006-08-04 |
1639187677 | Robert R Lisek | Internal Medicine | 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 | 2006-08-04 |
1528091204 | Robert H Harner | Internal Medicine | 5605 E. Rockton Road, Northpoint, Roscoe, IL 61073-7601 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396234746 | Zachary J Rio | Physical Therapist | 4675 Bluestem Rd Ste 1, Roscoe, IL 61073 | 2018-05-01 |
1548702954 | Vicki Foti | Registered Nurse | 4828 Rockton Road, Roscoe, IL 61073 | 2016-11-16 |
1174074975 | James B Garrison | Social Worker | 11447 2nd St, Ste 9b, Roscoe, IL 61073 | 2016-10-18 |
1932457355 | Annie Pamela Stephens | Chiropractor | 11673 Main St., Roscoe, IL 61073 | 2012-08-15 |
1255602819 | Trent Michael Hippard | Chiropractor | 15724 B Elevator Rd, Roscoe, IL 61073 | 2012-01-13 |
1689856437 | Martha M Muldowney | Dentist | 5464 Pine Lane, Roscoe, IL 61073 | 2007-12-04 |
1396885794 | Richard Scott Newcomb | Optometrist | 11710 Main St Suite 2, Roscoe, IL 61073 | 2007-02-07 |
1356459754 | Margaret Allensworth Franklin | Counselor | 9830 Double Ditch Circle, Roscoe, IL 61073 | 2006-08-26 |
1811002660 | Cjn Therapy Services LLC | Counselor | 5334 Williams Drive, Roscoe, IL 61073 | 2006-08-20 |
1033142575 | Trina Renee Morgan | Chiropractor | 5724 B Elevator Rd, Roscoe, IL 61073 | 2006-07-08 |
Find all providers in zip 61073 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295365005 | Interventional Pain Consultants LLC | Pain Medicine | 4972 Benchmark Centre Dr Ste 400, Swansea, IL 62226-2070 | 2020-01-21 |
1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
1598033953 | Manuel P. Blas | Pain Medicine | 1103 Berkley Ln, Lemont, IL 60439-8940 | 2011-12-13 |
1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
1295811479 | Illinois Pain Treatment Institute, Ltd | Pain Medicine | 431 Summit, Elgin, IL 60120 | 2006-10-31 |
1164519005 | Wayne David Kelly | Pain Medicine | 1883 Hicks Rd, Suite A, Rolling Meadows, IL 60008-1254 | 2006-10-10 |
1417060146 | Ramesh Bathina | Pain Medicine | 1315 N Highland Ave # 105, Aurora, IL 60506-1400 | 2006-08-16 |
1457375115 | Terri L Dallas-prunskis | Pain Medicine | 4309 Medical Center Dr, B103, Mchenry, IL 60050 | 2006-07-26 |
Find all providers with the same taxonomy |
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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.