JUAN ROMERO GADDI (NPI# 1750761359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750761359 |
| Entity Type | Individual |
| Full Name | JUAN ROMERO GADDI |
| Credential | M.D. |
| Practice Address |
900 Main St Ste 720 Peoria IL 61602-5027 |
| Practice Telephone | 3094951640 |
| Practice Fax Number | 3094951644 |
| Mailing Telephone | 3094951640 |
| Mailing Fax Number | 3094951644 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
125067141 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
900 MAIN ST STE 720 |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366647521 | Andrew Jerome Lancia | Psychiatry & Neurology | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2007-06-18 |
| 1912535287 | Jin-huon Jou | Student in an Organized Health Care Education/Training Program | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2020-03-31 |
| 1376103259 | Jerri Jean Genovese | Social Worker | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2019-06-13 |
| 1396205845 | Samicchya Adhikari | Psychiatry & Neurology | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2019-03-21 |
| 1689029027 | Erik Masayuki Shipley | Psychiatry & Neurology | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2016-05-03 |
| 1316328982 | Kyla Nighohossian | Psychiatry & Neurology | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2015-06-09 |
| 1114320413 | Tiffany Abrego | Psychologist | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962767376 | Aman Deep Singh | Psychiatry & Neurology | 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 | 2012-07-11 |
| 1437438249 | Kapil Kiran Aedma | Psychiatry & Neurology | 900 Main St Ste 400, Peoria, IL 61602-1060 | 2011-08-10 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1366647521 | Andrew Jerome Lancia | Psychiatry & Neurology | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2007-06-18 |
| 1710197827 | Mahasukh Shah | Psychiatry & Neurology | 5827 N Briarwood Ln, Peoria, IL 61614-4230 | 2007-05-23 |
| 1972620706 | Ronald Michael Schwartz | Psychiatry & Neurology | 9069 W Irma Ln, Peoria, AZ 85382-6481 | 2007-03-25 |
| 1386702595 | Christine Bowers | Psychiatry & Neurology | 4719 N Sheridan Road, Peoria, IL 61614 | 2006-12-04 |
| 1861584542 | Abraham Ramy Frenkel | Psychiatry & Neurology | 7317 N Willow Lake Ct, Peoria, IL 61614-8260 | 2006-09-29 |
| 1407948607 | Andrew Jon Heritch | Psychiatry & Neurology | 3116 N Dries Ln, #201, Peoria, IL 61604 | 2006-09-28 |
| 1205945912 | Shaukat Ali Khan | Psychiatry & Neurology | 5016 North University Street, Suite 104, Peoria, IL 61614-4763 | 2006-08-29 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on JUAN ROMERO GADDI.
| 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.