Ichha Sethi
Family Medicine

Address: 1640 E Kearney St, Springfield, MO 65803-4106
Phone: 4178639190

Ichha Sethi (NPI# 1588911580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1588911580
Entity Type Individual
Full Name Ichha Sethi
Credential MD
Gender Female
Practice Address 1640 E Kearney St
Springfield
MO 65803-4106
Practice Telephone 4178639190
Practice Fax Number 4178639073
Mailing Address Po Box 505164
Saint Louis
MO 63150-5164
Mailing Telephone 4178294620
Mailing Fax Number 4178294316
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-08-08
Last Update Date 2015-11-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207Q00000X Family Medicine Allopathic & Osteopathic Physicians TEP NUMBER: 6811 NE
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 2015021643 MO

Other Provider Identifier

State Identifier Issuer Type Code
MO 1588911580 MEDICAID

Other Providers ICHHA SETHI

NPI Name Taxonomy Address Enumeration
1750786513 Ichha Sethi Physician Assistant 1108 W Indian School Rd, Ste B, Phoenix, AZ 85013-3107 2014-10-22

Physician Overview

NPI 1588911580
PAC ID by PECOS 6204143456
Professional Enrollment ID I20150921001204
Full Name Ichha Sethi
Organization Legal Name MERCY CLINIC SPRINGFIELD COMMUNITIES
Phone Number 4178639190
Gender F
Graduation Year 2007
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 7416865845
Number of Group Practice Members 914
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260065 MERCY HOSPITAL SPRINGFIELD

Office Location

Street Address 1640 E KEARNEY ST
City SPRINGFIELD
State MO
Zip Code 65803-4106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285773929 Mark R Ward Family Medicine 1640 E Kearney St, Springfield, MO 65803-4106 2007-02-06
1114207354 Kunalpreet Singh Gugnani Family Medicine 1640 E Kearney St, Springfield, MO 65803-4106 2011-08-19
1306042536 Mercy Clinic-springfield Communities Durable Medical Equipment & Medical Supplies 1640 E Kearney St, Springfield, MO 65803-4106 2007-06-25
1174665970 Samuel A. Crow II Family Medicine 1640 E Kearney St, Springfield, MO 65803-4106 2007-02-12
1952440679 Darla K Hull Family Medicine 1640 E Kearney St, Springfield, MO 65803-4106 2007-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285145730 Meghan Roetto Social Worker 2130 N Glenstone, Springfield, MO 65803 2017-10-23
1346751757 John B Lehn Pharmacist 2625 N Kansas Expressway, Springfield, MO 65803 2017-10-12
1558805754 Bhg Xliii, LLC Clinic/Center 2551 W Kearney St, Springfield, MO 65803 2016-12-07
1962856187 Karissa Knight Counselor 2438 N Cottage, Springfield, MO 65803 2016-04-14
1417383290 Walgreens Community/Behavioral Health 1525 W Kearny, Springfield, MO 65803 2013-09-24
1790123479 Sarah Fontana Dentist 2241 N. Glenstone Ave., Springfield, MO 65803 2013-06-04
1942499587 Jeci Mora Ramos Jr. Hearing Instrument Specialist 2133 N Nettleton, Springfield, MO 65803 2007-10-19
1598891012 Dwight Richard Daugherty Dentist 3016 N Kentwood, Springfield, MO 65803 2007-02-26
1144388224 Bradley Douglas Graf Dentist 1410 E Kearney, Suite A, Springfield, MO 65803 2006-12-04
1962575662 National Hearing Centers Audiologist-Hearing Aid Fitter 2825 N. Kansas Expwy, Springfield, MO 65803 2006-11-17
Find all providers in zip 65803

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770076622 Thomas John Schumann Family Medicine 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 2018-06-14
1134648959 Patricia Derges Family Medicine 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 2017-09-12
1740704667 Mercy Management of Sepa Family Medicine 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 2017-08-02
1083134902 Trevor Conner Family Medicine 1423 N Jefferson Ave, B100, Springfield, MO 65802 2017-06-21
1700316932 Kelsey Elizabeth Mcglade Family Medicine 1260 East Woodland Ave, Suite 200, Springfield, PA 19064 2017-06-20
1427588599 Christle Guevarra Family Medicine 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 2017-06-12
1174067631 Regional Services Family Medicine 2900 S National Ave Bldg A, Springfield, MO 65804-3634 2016-12-16
1346791167 Central Counties Health Centers, Inc. Family Medicine 1023 E Washington St, Springfield, IL 62703-1047 2016-10-17
1053791624 Caitlyn De Kanter Family Medicine 8004 Parklane Ct, Springfield, VA 22153-2614 2015-06-08
1386037240 Brittany Alloway Family Medicine 6903 Forsythia St, Springfield, OR 97478-7339 2015-03-16
Find all providers in SPRINGFIELD

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City SPRINGFIELD
Zip Code 65803

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Dataset Information

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.

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