MR. RAJAGOPALA SWAMINATHAN (NPI# 1528008414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528008414 |
| Entity Type | Individual |
| Full Name | MR. RAJAGOPALA SWAMINATHAN |
| Credential | MD |
| Practice Address |
3024 E Empire St Ste Eandf Bloomington IL 61704-5402 |
| Mailing Address |
3024 E Empire St Ste E Bloomington IL 61704-5402 |
| Practice Telephone | 3094513376 |
| Practice Fax Number | 3094523376 |
| Mailing Telephone | 3094513376 |
| Mailing Fax Number | 3094523376 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036052561 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED AMER INSURANCE CO | C619811 | 01 | |
| RAILROAD MEDICARE | 070002088 | 01 | |
| JOHN DEERE HEALTH CARE | 37122730101 | 01 | |
| IL | HEALTHLINK | 563285 | 01 |
| AETNA | 0004006893 | 01 | |
| OSF HEALTHPLANS INC | 036052561001 | 01 | |
| IL | BLUE CROSS BLUE SHIELD IL | 7200602 | 01 |
| CIGNA HEALTHCARE | 3712273010002 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 S 13th St, Pekin, IL 615544936 | 3096937788 | 3094523376 |
| Street Address |
3024 E EMPIRE ST STE EANDF |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427328798 | Megan Lesley Glenn | Physician Assistant | 3024 E Empire St Ste Eandf, Bloomington, IL 61704-5402 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740415777 | Adrienne Schupbach | Dermatology | 3024 E Empire St Ste E&f, Bloomington, IL 61704-5402 | 2009-05-19 |
| 1003914920 | Bloomington Dermatology Clinic | Dermatology | 2001 E 3rd St, Bloomington, IN 47401-7890 | 2006-09-21 |
| 1366442444 | Kent S. Taulbee | Dermatology | 2418 E Lincoln St, Bloomington, IL 61701-5915 | 2005-07-29 |
| 1578567343 | Mary Kathleen Mctigue | Dermatology | 1200 S Rogers St, Bloomington, IN 47403-4792 | 2005-06-09 |
| 1184000531 | Roxanne Rajaii | Dermatology | 1200 S Rogers St, Bloomington, IN 47403-4792 | 2015-08-08 |
| 1669867669 | Michelle Gita Baechtold | Dermatology | 1200 S Rogers St, Bloomington, IN 47403-4792 | 2015-04-06 |
| 1144489618 | Elizabeth Kim Farhat | Dermatology | 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 | 2008-06-09 |
| 1801063128 | Carrie Lynn Davis | Dermatology | 1200 S Rogers St, Bloomington, IN 47403-4792 | 2008-05-15 |
| 1689846909 | Talley Bhanyang Whang | Dermatology | 1200 S Rogers St, Bloomington, IN 47403-4792 | 2008-03-26 |
| 1689863904 | Associates In Dermatology Sc | Dermatology | 1404 Eastland Drive, Suite 204, Bloomington, IL 61701-3532 | 2007-10-23 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.