DR. SHARMISHTHA JAYACHANDRAN (NPI# 1740385210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740385210 |
| Entity Type | Individual |
| Full Name | DR. SHARMISHTHA JAYACHANDRAN |
| Credential | M.D. |
| Practice Address |
300 Randall Rd Geneva IL 60134-4200 |
| Mailing Address |
825 W State St Suite 103e Geneva IL 60134-2080 |
| Practice Telephone | 6302083000 |
| Mailing Telephone | 6302084412 |
| Mailing Fax Number | 6302080201 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085R0001X |
Radiology Specialization: Radiation Oncology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS PROVIDER ID | 04515240 | 01 |
| Street Address |
300 RANDALL RD |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859655 | Delnor-community Hospital | General Acute Care Hospital | 300 Randall Rd, Geneva, IL 60134-4200 | 2005-05-23 |
| 1811524994 | Daniel Reine | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
| 1336776400 | Hope Christiansen | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
| 1962039677 | Ellean Zhang | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-24 |
| 1730716598 | Han Myoung Park | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-23 |
| 1225664220 | Autumn E Bernicky | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-21 |
| 1457985350 | Kinga Radowska | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-02-28 |
| 1104387885 | Rachel Elizabeth Dewey | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-26 |
| 1649739913 | Evan Justin Hale | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-17 |
| 1124557152 | Josephine Soyoung Lee-kim | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2017-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841394368 | Joseph M Persak | Radiology | 300 Randall Rd, Geneva, IL 60134-4200 | 2006-09-13 |
| 1952406415 | Craig Nasralla | Radiology | 300 Randall Rd, Geneva, IL 60134-4200 | 2006-09-13 |
| 1730284282 | Yammanuru Ramulu | Radiology | 300 Randall Rd, Geneva, IL 60134-4200 | 2006-09-13 |
| 1548365026 | Kalyana Poruri | Radiology | 300 Randall Rd, Geneva, IL 60134-4200 | 2006-09-13 |
| 1780789271 | Binu Philip | Radiology | 300 Randall Rd, Geneva, IL 60134-4200 | 2006-09-13 |
| 1326143793 | Tri City Radiology S.c | Radiology | 300 Randall Rd, Geneva, IL 60134-4200 | 2006-09-13 |
| 1639274053 | Sidney Jain | Radiology | 825 W State St Ste 103e, Geneva, IL 60134-2078 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700042363 | Dejana Radulovic | Radiology | 676 North St.clair, 800, Chicago, IL 60611 | 2008-08-04 |
| 1306000542 | Stephanie Shors | Radiology | 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 | 2008-07-16 |
| 1760688360 | Matthew Dodaro | Radiology | 6952 Rote Rd, Rockford, IL 61107-2607 | 2007-06-21 |
| 1518097567 | West Suburban Medical Center | Radiology | 420 William St, Bone Density At Fpc, River Forest, IL 60305-1920 | 2007-03-07 |
| 1932245578 | Alexander Ree | Radiology | 2160 S. First Ave., Radiology Department, Maywood, IL 60153 | 2007-01-30 |
| 1467523217 | Brent M Greenberg | Radiology | 1535 Park Ave West, Greenberg Radiology Imaging, Highland Park, IL 60035-2240 | 2006-11-13 |
| 1194820167 | Thomas Figler | Radiology | 903 Commerce Dr, Suite 333, Oak Brook, IL 60523-1969 | 2006-09-14 |
| 1609987767 | Dr. Swartz Imaging of Illinois | Radiology | 8618 W Golf Rd # 8620, Niles, IL 60714-5600 | 2006-08-31 |
| 1063435923 | Jorge Delatorre | Radiology | 3058 N Austin Ave, Chicago, IL 60634-5126 | 2006-07-25 |
| 1174565774 | Ana Stipisic | Radiology | 2233 W Division, Chicago, IL 60622 | 2006-06-11 |
| Find all providers with the same taxonomy | ||||
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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.