Sarah Dutta (NPI# 1083648240, PAC ID# 5193621811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1083648240 |
| PAC ID by PECOS | 5193621811 |
| Professional Enrollment ID | I20140421001972 |
| Full Name | Sarah Dutta |
| Organization Legal Name | SARAH DUTTA OBGYN SC |
| Address |
107 N Regency Dr Suite 3 Bloomington IL 61701-3505 |
| Phone Number | 3096610406 |
| Gender | F |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7719119007 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140162 | ST JOSEPH MEDICAL CENTER |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 107 N Regency Dr, Suite 3, Bloomington, IL 61701-3505 | 3096610406 | SARAH DUTTA OBGYN SC |
| Organization Legal Name | SARAH DUTTA OBGYN SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret J Neumann | Nurse Practitioner | Sarah Dutta Obgyn Sc | 107 N Regency Dr, Suite 3, Bloomington, IL 61701-3505 |
| Street Address |
107 N REGENCY DR SUITE 3 |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61701-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay James R Miller | Urology | 107 N Regency Dr, Suite 2, Bloomington, IL 61701-3515 | |
| Margaret J Neumann | Nurse Practitioner | Sarah Dutta Obgyn Sc | 107 N Regency Dr, Suite 3, Bloomington, IL 61701-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Buecker | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Ryan E Newberger | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Kayla S Olesky | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Alex R Yuan | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Tracy Pacini | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Dean Ryan Mccullough | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| James W Tarasuik Jr. | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Jenia Rochelle Heavens | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Paula C Miller | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Nancy G Duffy | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Find all physicians in zip 61701 | |||
| City | BLOOMINGTON |
| Zip Code | 61701 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BLOOMINGTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Sarah Dutta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.