DR. GEETHA DODDA (NPI# 1528056181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528056181 |
Entity Type | Individual |
Full Name | DR. GEETHA DODDA |
Credential | MD |
Practice Address |
530 Park Ave E Suite 7 Princeton IL 61356-3901 |
Practice Telephone | 8158758666 |
Practice Fax Number | 8158720487 |
Mailing Telephone | 8158758666 |
Mailing Fax Number | 8158720487 |
Enumeration Date | 2005-10-07 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
IL | Allopathic & Osteopathic Physicians |
Street Address |
530 PARK AVE E SUITE 7 |
City | PRINCETON |
State | IL |
Zip Code | 61356-3901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124021308 | Julia Rackley Perry Memorial Hospital | General Acute Care Hospital | 530 Park Ave E, Princeton, IL 61356-3901 | 2005-05-23 |
1427529577 | Ashley Kannenberg | Dietitian, Registered | 530 Park Ave E, Princeton, IL 61356-2598 | 2018-12-16 |
1689126799 | Jo A Muller | Nurse Practitioner | 530 Park Ave E, Ste 207, Princeton, IL 61356-3901 | 2016-10-25 |
1578940524 | Jennifer Hoffman | Nurse Practitioner | 530 Park Ave E, Princeton, IL 61356-3901 | 2015-04-29 |
1114326956 | Ketan R Patel | Internal Medicine | 530 Park Ave E, Suite 101, Princeton, IL 61356-3901 | 2014-08-18 |
1922411602 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E, Princeton, IL 61356-3901 | 2014-06-10 |
1942551312 | Jenny Gaworski | Nurse Practitioner | 530 Park Ave E, Princeton, IL 61356-3901 | 2012-09-26 |
1619231719 | Victoria Jeannine Anderson | Physical Therapy Assistant | 530 Park Ave E, Princeton, IL 61356-2598 | 2012-07-03 |
1710241286 | Jacquelyn Johnson | Occupational Therapist | 530 Park Ave E, Princeton, IL 61356-3901 | 2012-06-29 |
1023372869 | Debra K Austin | Physical Therapist | 530 Park Ave E, Princeton, IL 61356-2598 | 2012-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
Find all providers in zip 61356 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508200049 | Marina Kim | Internal Medicine | 26 Castleton Rd, Princeton, NJ 08540-1653 | 2013-04-27 |
1053472266 | Digestive Disease Center, Pa | Internal Medicine | 11 State Rd, Suite 200, Princeton, NJ 08540-1318 | 2006-12-12 |
1912005026 | Craig Margulies | Internal Medicine | 419 N Harrison St Ste 201, Princeton, NJ 08540-3521 | 2006-09-20 |
1639179252 | Robert F Meirowitz | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2005-07-26 |
1588143275 | Gibson General Hospital, Inc | Internal Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2018-08-13 |
1689964546 | Aaron Bellows | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2011-04-13 |
1508196957 | Anne Swedlund Md LLC | Internal Medicine | 932 State Rd, 2nd Floor, Princeton, NJ 08540-1445 | 2010-01-07 |
1992939235 | Stanley Cho-hsien Hsu | Internal Medicine | 419 N Harrison St Ste 101, Princeton, NJ 08540 | 2009-05-13 |
1164665998 | Amy Rubin Shriver | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2009-04-09 |
1881750834 | Michael J Fidanzato | Internal Medicine | 601 Ewing St, Suite C7, Princeton, NJ 08540-2757 | 2006-12-27 |
Find all providers in PRINCETON |
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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.