MR. GAUTAM JHA


Address: 1325 W. Whittaker, Suite D, Salem, IL 62881
Phone: 6187400300

MR. GAUTAM JHA (NPI# 1447314737) 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) 1447314737
Entity Type Individual
Full Name MR. GAUTAM JHA
Credential MD
Practice Address 1325 W. Whittaker
Suite D
Salem
IL 62881
Practice Telephone 6187400300
Practice Fax Number 6187400301
Mailing Telephone 6187400300
Mailing Fax Number 6187400301
Enumeration Date 2006-12-20
Last Update Date 2016-05-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036096423 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036096423 05

Other Providers GAUTAM JHA

NPI Name Taxonomy Address Enumeration
1538370622 Gautam Gopalji Jha Internal Medicine 420 Delaware St Se, (dept of Medicine), Minneapolis, MN 55455-0341 2007-05-24

Office Location

Street Address 1325 W. WHITTAKER
SUITE D
City SALEM
State IL
Zip Code 62881

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447776026 Heather Krajefska Speech-Language Pathologist Franklin Park School, 1325 N Franklin, Salem, IL 62881 2017-08-16
1629510581 Heidi V. Thompson Nurse Practitioner 1250 W. Whittaker, Salem, IL 62881 2016-11-09
1548664170 Catherine Durbin Nurse Practitioner 518 South Broadway, Salem, IL 62881 2014-10-10
1770718439 Community Resource Center, Inc Community/Behavioral Health 315 Westgate, Salem, IL 62881 2009-05-26
1932377652 Community Resource Center Inc Clinic/Center 315 Westgate Ave, Salem, IL 62881 2008-02-15
1245408053 The Manor At Salem Woods, L.p. Assisted Living Facility 441 S. Hotze Rd., Salem, IL 62881 2008-02-14
1366610321 Penta Group Inc. Non-emergency Medical Transport (VAN) 300 Schoonover Drive, Salem, IL 62881 2008-02-13
1326192808 Alan D Montgomery Optometrist 400 North Broadway, Salem, IL 62881 2007-01-22
1669539979 Knevitt Inc Ambulance 3340 Selmaville Rd, Salem, IL 62881 2007-01-03
1235204322 Imaging Center of Salem, Inc Internal Medicine 1325d W Whittaker St, Salem, IL 62881 2006-11-22
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831708916 P3 Health Partners-oregon LLC Internal Medicine 2525 12th St Se Ste 240250, Salem, OR 97302-2281 2020-07-24
1285279042 Gaps Health Or PC Internal Medicine 780 Commercial St Se Ste 100, Salem, OR 97301-3465 2019-11-15
1427476753 Lee Austin Fredrickson Jr. Internal Medicine 2020 E State St Ste C, Salem, OH 44460-2479 2014-04-03
1407119381 Christina Joy Mckinnis Internal Medicine 27 Silverbrook Rd, Salem, NH 03079-4067 2012-06-16
1124331392 Xi Zheng Internal Medicine 1049 Edgewater St Nw, Salem, OR 97304-4046 2010-07-16
1578894689 Gary D Ollbrich Inc Internal Medicine 1044 Commercial St Se, Salem, OR 97302-4112 2010-01-29
1700114105 Edward W Cipolla Do Pa Internal Medicine 330 Woodstown Rd Ste 1, Salem, NJ 08079-2093 2009-11-23
1053568592 Garry Tim Miller II Internal Medicine 555 W Sr 164 North, Salem, UT 84653-1666 2008-08-27
1275700825 Jatinder Aujla Internal Medicine 55 Highland Ave Ste 304, Salem, MA 01970-2100 2008-05-13
1780889386 Ryan D Zaklin Internal Medicine 84 Highland Ave Ste 311, Salem, MA 01970-2733 2007-06-15
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Competitor

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City SALEM
Zip Code 62881

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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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