MADHURI THOTA (NPI# 1851425383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851425383 |
| Entity Type | Individual |
| Full Name | MADHURI THOTA |
| Other Name | MADHURI GANDU |
| Credential | M.D. |
| Practice Address |
14 Lake St Oak Park IL 60302-2606 |
| Practice Telephone | 7083830113 |
| Practice Fax Number | 7083839911 |
| Mailing Telephone | 7083830113 |
| Mailing Fax Number | 7083839911 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036106024 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-106024 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-106024 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 S Mchenry, Immediate Care, Buffalo Grove, IL 600896008 | 8474596100 | 8475414857 |
| Street Address |
14 LAKE ST |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254972 | Ralph G. Ryan | Internal Medicine | 14 Lake St, Oak Park, IL 60302-2606 | 2005-08-31 |
| 1962026005 | Kathryn Elizabeth Ryan Nutting | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2020-06-04 |
| 1972127165 | Jacqueline Marcella Greene-roper | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2020-06-03 |
| 1881215960 | Jennifer Nudo | Social Worker | 14 Lake St, Oak Park, IL 60302-2606 | 2020-04-30 |
| 1891356721 | Maryam A Syed | Registered Nurse | 14 Lake St, Oak Park, IL 60302-2606 | 2019-06-21 |
| 1962060723 | Elizabeth Jeanne Burgess | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2019-06-05 |
| 1689158271 | Pcc Community Wellness Center | Case Management | 14 Lake St, Oak Park, IL 60302-2606 | 2018-09-19 |
| 1760973515 | Leslie Smebak | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2018-05-28 |
| 1811488679 | Morgan Colleen Beatty | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2018-05-28 |
| 1104344431 | Kimberly Zoellick | Nurse Practitioner | 14 Lake St, Oak Park, IL 60302-2606 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376919076 | Lori Dagan | Emergency Medicine | 5440 Wembly Ave, Oak Park, CA 91377-4735 | 2015-08-17 |
| 1053454926 | Tedjitou Martin | Emergency Medicine | 6436 Roosevelt Rd, 307, Oak Park, IL 60304-2163 | 2007-02-14 |
| 1831116433 | Calvin P Wadley | Emergency Medicine | 109 N Oak Park Ave Apt 2, Oak Park, IL 60301-1362 | 2006-07-17 |
| 1215938857 | David Manno | Emergency Medicine | 1100 Lake St Ste 125b, Oak Park, IL 60301-1015 | 2005-08-04 |
| 1609876077 | Paula B Green | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2005-07-28 |
| 1770196461 | United Urgent Care Group | Emergency Medicine | 25900 Greenfield Rd Ste 140, Oak Park, MI 48237-1267 | 2020-08-24 |
| 1962067165 | Alteon Health Illinois, Pllc | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-05-03 |
| 1083148464 | Katrina Weimer | Emergency Medicine | 14 Lake St, Oak Park, IL 60302-2606 | 2017-04-12 |
| 1639616543 | Samantha Berman | Emergency Medicine | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2017-01-30 |
| 1407206188 | Joshua James Faucher | Emergency Medicine | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2016-06-14 |
| Find all providers in OAK PARK | ||||
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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.