Gowri Subramaniyan (NPI# 1295175438, PAC ID# 6103058284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295175438 |
| PAC ID by PECOS | 6103058284 |
| Professional Enrollment ID | I20161027002449 |
| Full Name | Gowri Subramaniyan |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
9010 N Allen Rd Suite J Peoria IL 61615-1584 |
| Phone Number | 3094958500 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9010 N Allen Rd, Suite J, Peoria, IL 61615-1584 | 3094958500 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
9010 N ALLEN RD SUITE J |
| City | PEORIA |
| State | IL |
| Zip | 61615-1584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber N Avila | Family Medicine | Iowa Physicians Clinic Medical Foundation | 9010 N Allen Rd, Suite J, Peoria, IL 61615-1584 |
| Amy Garner | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 9010 N Allen Rd, Suite J, Peoria, IL 61615-1584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Thompson | Ophthalmology | Gailey Eye Clinic, Ltd | 8800 N Orange Prairie, Peoria, IL 61615 |
| Jeffrey Y Liang | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 10322 N Juliet Ct, Peoria, IL 61615-1199 |
| Matthew Carr | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Abby G Freckleton | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Susannah Dintzis | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Michael J Pace | Family Practice | Methodist Medical Center of Illinois | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Amanda Miriam Kilgore | Physical Therapy | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Michael Dominic Tarantino | Hematology/oncology | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | |
| Rohith Jesudas | Pediatric Medicine | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Elizabeth A Lepper | Nurse Practitioner | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Find all physicians in zip 61615 | |||
| City | PEORIA |
| Zip Code | 61615 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PEORIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gowri Subramaniyan.
| 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.