DR. SUJIT BHIMIREDDY


Address: 530 Ne Glen Oak Ave, Peoria, IL 61637-0001
Phone: 6185788044

DR. SUJIT BHIMIREDDY (NPI# 1720493000) 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) 1720493000
Entity Type Individual
Full Name DR. SUJIT BHIMIREDDY
Credential M.D.
Practice Address 530 Ne Glen Oak Ave
Peoria
IL 61637-0001
Practice Telephone 6185788044
Mailing Telephone 6185788044
Enumeration Date 2014-06-25
Last Update Date 2014-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 125.065145 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 530 NE GLEN OAK AVE
City PEORIA
State IL
Zip Code 61637-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346235777 Jack Michael Gibson Obstetrics & Gynecology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-09-12
1053912188 Janie Clary Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-11-04
1265030548 Christina David Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-10-09
1033726831 Corry Lynn Rediger Occupational Therapist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-25
1720694094 Katelynn M Madden Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-21
1568074474 Amanda Diane Beoletto Pharmacist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-08-21
1881212892 Mohammad Mousbah Al-tabbaa Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1750909693 Mohammad Gareeb Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1376160846 Bassel Elia Abouzeid Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637 2020-07-01
1700403516 Christina Marie Spurgeon Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780200865 Kuang Chuen Liu Pediatrics 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 2020-06-24
1174184527 Manisha Tharoor Student in an Organized Health Care Education/Training Program 530 N.e Glen Oak Ave, Peoria, IL 61637 2019-06-26
1609436724 Sriviji Senthil Kumaran Student in an Organized Health Care Education/Training Program 530. N.e Glen Oak Ave., Peoria, IL 61637 2019-06-20
1780240929 Abuzar Ali Asif Student in an Organized Health Care Education/Training Program 530 N. E. Glen Oak Ave., Peoria, IL 61637 2019-05-14
1518328665 Jenna Bishop Dietitian, Registered 600 Ne Water Street, Peoria, IL 61637 2016-03-17
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1265720510 Reuben Antony Pediatrics 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 2011-07-20
1366673436 Joseph William Hauter Emergency Medicine 830 Ne Glen Oak Ave, Peoria, IL 61637 2009-08-06
1437380748 Jeremy R Monroe Emergency Medicine 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 2009-08-04
1326244682 Maria S. Parr Psychiatry & Neurology Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 2007-06-25
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003861634 Patrick William Elwood Neurological Surgery 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 2006-05-23
1295185056 Thomas Morison Russell Neurological Surgery 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-06-13
1700235280 Nolan Winslow Neurological Surgery 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-06-06
1790167559 Daniel Vollhaber Neurological Surgery 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2015-06-29
1053793315 Max Kahn Neurological Surgery 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2015-06-23
1295173789 Paul Miles Macmahon Neurological Surgery Osf St Francis Medical Ctr, 530 N.e. Glen Oak Ave, Peoria, IL 61637-0001 2013-06-06
1790122141 Kendrick Dewayne Johnson Neurological Surgery Osf St Francis Medical Ctr, 530 N.e. Glen Oak Ave, Peoria, IL 61637-0001 2013-05-24
1326485921 Illinois Neuroscience Institute Neurological Surgery 100 Ne Randolph Ave, Peoria, IL 61606-1919 2013-05-23
1043506942 Derek Martinez Neurological Surgery 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2011-06-20
1467765040 Andres L Maldonado Neurological Surgery 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2010-07-23
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Competitor

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City PEORIA
Zip Code 61637

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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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