VIJAY DESAI (NPI# 1497748040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497748040 |
| Entity Type | Individual |
| Full Name | VIJAY DESAI |
| Credential | M.D. |
| Practice Address |
200 E Fairman Ave Watseka IL 60970-1644 |
| Mailing Address |
150 Quail Ridge Dr Westmont IL 60559-6142 |
| Practice Telephone | 6303218300 |
| Practice Fax Number | 6303218750 |
| Mailing Telephone | 6303218300 |
| Mailing Fax Number | 6303218750 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376865048 | Vijay Desai | Pharmacist | 1575 Grand Concourse, Bronx, NY 10452-6245 | 2010-02-23 |
| 1821011867 | Vijay Desai | Internal Medicine | 6830 Gall Blvd, Zephyrhills, FL 33542-2503 | 2006-07-25 |
| 1770506446 | Vijay V Desai | Internal Medicine | 24 Stevens St, Norwalk, CT 06850 | 2006-07-25 |
| Street Address |
200 E FAIRMAN AVE |
| City | WATSEKA |
| State | IL |
| Zip Code | 60970-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015232 | Holly Isaac | Dietitian, Registered | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-05-20 |
| 1194357954 | Alliance Medical Partners, LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-02-10 |
| 1891326286 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-02-04 |
| 1942857222 | Tracy Packer | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2019-08-21 |
| 1003396318 | Aaron Daniel Mccray | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2018-08-16 |
| 1144760836 | Rebecca Koerner | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2017-03-01 |
| 1083066674 | Iroquois Memorial Hospital | Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2016-07-07 |
| 1376929174 | Brotula Emergency Physicians LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-08-04 |
| 1093191173 | Amy Johandes | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-07-30 |
| 1770982464 | Jessica A. Morales | Registered Nurse | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2014-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189167 | Malinda S Mustered | Occupational Therapist | 825 S Belmont Ave, Watseka, IL 60970 | 2019-11-27 |
| 1558889188 | K-shayla Lafayette | Nurse Practitioner | 200 E. Fairman Ave., Watseka, IL 60970 | 2017-09-04 |
| 1144354879 | Pamela H. Beall | Counselor | 1801 N. State Route 1, Suite 2, Watseka, IL 60970 | 2007-03-15 |
| 1528111879 | Spine Clinics of America Sc | Chiropractor | 425 E. Walnut Street, Watseka, IL 60970 | 2007-01-19 |
| 1699833970 | Shakeel Sher Khan Sandozi | Surgery | 625 S Fifth Street, Watseka, IL 60970 | 2006-12-05 |
| 1790859866 | David Charles Nagele | Dentist | 130 N Littelfuse Ln, Suite 101, Watseka, IL 60970 | 2006-11-20 |
| 1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
| 1952324279 | Bonita Jean Rajala | Counselor | 617 East Grant St., Watseka, IL 60970 | 2006-07-26 |
| 1396978177 | Allison Shindelar | Social Worker | 323 Wmulberry St, Watseka, IL 60970-0332 | 2009-08-27 |
| 1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
| Find all providers in zip 60970 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357954 | Alliance Medical Partners, LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-02-10 |
| 1376929174 | Brotula Emergency Physicians LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-08-04 |
| 1972521839 | Iroquois Emergency Medicine Specialists, Ltd. | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-07-18 |
| 1891789244 | Pradip Shah | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-31 |
| 1245224641 | John A. Timmons | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-31 |
| 1942293469 | Issac G. Plamoottil | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-30 |
| 1235122706 | Kathleen O. Halleran | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
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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.