Rajagopala Swaminathan (NPI# 1528008414, PAC ID# 6709936495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1528008414 |
| PAC ID by PECOS | 6709936495 |
| Professional Enrollment ID | I20090618000579 |
| Full Name | Rajagopala Swaminathan |
| Organization Legal Name | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| Address |
812 W Trailcreek Dr Peoria IL 61614-1862 |
| Phone Number | 3094513376 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3870732191 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 | 3094513376 | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| 812 W Trailcreek Dr, Peoria, IL 61614-1862 | 3094513376 | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| Organization Legal Name | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Lillie | Physician Assistant | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Douglas M Leone | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 925 W St, Suite 212, Peru, IL 61354-2769 |
| Kent S Taulbee | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Jeffrey K Mckenna | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Jennifer Lynn Stern | Nurse Practitioner | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Adrienne M Schupbach | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 925 W St, Suite 212, Peru, IL 61354-2769 |
| Wynn Kao | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Stephanie A Pasley | Nurse Practitioner | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Street Address |
812 W TRAILCREEK DR |
| City | PEORIA |
| State | IL |
| Zip | 61614-1862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Michael Pepperell | Chiropractic | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | |
| Caleb O Johnson | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Lance A Reiman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Caitlin Marie Pribble | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| James L Swingler | Obstetrics/gynecology | 7501 N University St, Suite 113, Peoria, IL 61614-1234 | |
| Christine A Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Kyle J Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Christine Marie Fletcher | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Danila L Mcasey | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Keith A Kramer | Chiropractic | Kramer Chiropractic and Acupuncture | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 |
| Find all physicians in zip 61614 | |||
| City | PEORIA |
| Zip Code | 61614 |
| Specialty | DERMATOLOGY |
| City + Specialty | PEORIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Rajagopala Swaminathan.
| 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.