ANUPAMA VALLALA (NPI# 1427099159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427099159 |
| Entity Type | Individual |
| Full Name | ANUPAMA VALLALA |
| Credential | MD |
| Practice Address |
2 Terminal Dr Suite 8 East Alton IL 62024-2201 |
| Practice Telephone | 6182591419 |
| Practice Fax Number | 6182591502 |
| Mailing Telephone | 6182591419 |
| Mailing Fax Number | 6182591502 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036112205 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2 TERMINAL DR SUITE 8 |
| City | EAST ALTON |
| State | IL |
| Zip Code | 62024-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124473046 | Heidi Fields | Nurse Practitioner | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2016-04-28 |
| 1194148544 | Affiance Home Health Services, LLC | Home Health | 2 Terminal Dr, Suite 19, East Alton, IL 62024-2201 | 2014-01-21 |
| 1700194750 | Jacob Funk | Chiropractor | 2 Terminal Dr, Suite 15, East Alton, IL 62024-2268 | 2010-09-23 |
| 1295062537 | Danielle L. Bogue | Nurse Practitioner | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2009-11-06 |
| 1780822734 | Gretchen D Jackson | Counselor | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2009-01-29 |
| 1154500254 | Nurses Station, P.C. | Registered Nurse | 2 Terminal Dr, Suite 1, East Alton, IL 62024-2201 | 2007-10-25 |
| 1518150481 | Anthony B Chin | Dentist | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2007-08-23 |
| 1053504506 | Nanthini Suthan | Internal Medicine | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2007-08-18 |
| 1750439279 | Sonia Marie Matthews | Obstetrics & Gynecology | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2007-01-08 |
| 1043368434 | Faccin Chiropractic, PC | Chiropractor | 2 Terminal Dr, Suite 8b, East Alton, IL 62024-2268 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326395153 | Leah Marie Nanney | Pharmacist | 550 W St Louis Avenue, East Alton, IL 62024 | 2012-08-10 |
| 1861681207 | M-lab Enterprises,ltd. | Chiropractor | 2 Termianl Dr. Ste. 15, East Alton, IL 62024 | 2007-10-22 |
| 1184846628 | Affordable Dentistry Today, PC | Dentist | 50 North Center Street, East Alton, IL 62024 | 2007-05-03 |
| 1386769255 | Sarah Crockett | Occupational Therapy Assistant | 8 Carmelita Drive, East Alton, IL 62024 | 2007-03-20 |
| 1922155886 | Ruth Cohen Kubicek | Social Worker | 9 Junction Drive West, Suite 2, Glen Carbon, IL 62024 | 2007-01-04 |
| 1952356578 | Andrew W Dykeman | Chiropractor | 33 East Airline Drive, East Alton, IL 62024 | 2006-05-23 |
| 1093771883 | Gateway Rehabilitation Company, LLC | Physical Therapist | 935 East Airline Dr, East Alton, IL 62024 | 2006-04-21 |
| 1265795025 | Tania Evans | Counselor | 211 N Shamrock St, East Alton, IL 62024-0016 | 2012-06-18 |
| 1114202280 | Dana Sue Livingston | Pharmacist | 550 W Saint Louis Ave, East Alton, IL 62024-1044 | 2011-10-19 |
| 1407259971 | Michelle Sawyer | Counselor | 515 Niagara St, East Alton, IL 62024-1087 | 2014-09-29 |
| Find all providers in zip 62024 | ||||
| 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 |
|---|---|---|---|---|
| 1720171093 | Michael G Koenig | Pediatrics | 2 Terminal Dr Ste 8, East Alton, IL 62024-2294 | 2006-10-01 |
| 1326104118 | Fei-tung Leu | Pediatrics | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2268 | 2006-12-28 |
| 1477619278 | Uraiwan Tana Hompluem | Pediatrics | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2268 | 2006-12-28 |
| 1255350252 | Christopher Dean Suhre | Pediatrics | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST ALTON |
| Zip Code | 62024 |
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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.