DR. PRISCILLA ROCHE MUTHARASAN (NPI# 1790932028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790932028 |
| Entity Type | Individual |
| Full Name | DR. PRISCILLA ROCHE MUTHARASAN |
| Other Name | DR. PRISCILLA ROSALYN ROCHE |
| Credential | M.D. |
| Practice Address |
9977 Woods Dr Suite 120 Skokie IL 60077-1057 |
| Practice Telephone | 8476638540 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2011-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036123424 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
9977 WOODS DR SUITE 120 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891987 | Michael Perry Rosenbaum | Pediatrics | 9977 Woods Dr, Skokie, IL 60077-1057 | 2005-12-13 |
| 1255938726 | Laura June Prestidge | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-10-07 |
| 1376150722 | Alaminah Said | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-09-29 |
| 1922618313 | Heather R Siddons | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-07-31 |
| 1366071797 | Kelly Hundman | Registered Nurse | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-04-07 |
| 1346888989 | Annie Zupan | Physician Assistant | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-12-13 |
| 1699310979 | Rachel Sarmiento | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-11-11 |
| 1447801998 | Giselle Martinez-o'connor | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-26 |
| 1376193904 | Eva Schwartz | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-09-16 |
| 1174173009 | Ross Thaler Compton | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1699954537 | Aaron Benjamin | Internal Medicine | 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 | 2007-10-28 |
| 1083952618 | Maria Claudia Moscoso Cordero | Internal Medicine | 9977 Woods Dr Ste 300, Skokie, IL 60077 | 2013-01-16 |
| 1245591924 | Ramez Bahu | Internal Medicine | 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 | 2012-05-30 |
| 1801085055 | Tama Porter | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2007-10-23 |
| 1003011800 | Herman Blomeier | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2007-06-20 |
| 1588742282 | Endocrinology & Metabolism Consultants, Ltd | Internal Medicine | 9933 Lawler Ave, 228, Skokie, IL 60077-3703 | 2006-11-01 |
| 1689685885 | Megan S Jacobs | Internal Medicine | 9977 Woods Dr, 1st Floor, Skokie, IL 60077-1057 | 2006-08-11 |
| 1174557243 | Lisa P. Purdy | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2006-07-11 |
| 1922032093 | Romy J. Block | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2006-07-11 |
| 1366470015 | Charles H. Schikman M.d.s.c. | Internal Medicine | 9669 Kenton Ave, 602, Skokie, IL 60076-1266 | 2006-06-30 |
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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.