Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376925289 Individual Practitioner Female Practitioner

Dr. Amita Ghosh , MD

Pediatrics • Moline, IL

Professional Overview & Biography Verified Profile Summary

Dr. Amita Ghosh, MD is a registered healthcare professional specializing in Pediatrics in Moline, IL. Practice services are available at 1106 4TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1106 4th Ave

Moline, IL 61265

Telephone 5633363000
Fax 5633272045
Associated Practice Facility / Clinic
🏢 Community Health Care, Inc. Facility NPI 1710971486

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Moline, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Moline, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036145083

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036145083 (IL)
Medicaid State Provider ID
1376925289 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Stephanie Witherow , FNP

Nurse Practitioner - Family

NPI 1003224585

Family Nurse Practitioner

Courtney Legendre , FNP

Nurse Practitioner - Family

NPI 1003956871

Family Nurse Practitioner

Dr. Kylie Resnick , DDS

Dentist - General Practice

NPI 1023900941

Doctor of Dental Surgery

Dr. John Leno , MD FACOG

Obstetrics & Gynecology

NPI 1043216286

MDFACOG

NPI 1053305003

Doctor of Medicine (M.D.)

Carrie Braet , PNP

Nurse Practitioner - Pediatrics

NPI 1073999868

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 24, 2018

Registered at 1106 4TH AVE, MOLINE, IL 61265 (Tel: 5633363000)

📍
Updated Business Mailing Address July 24, 2018

Registered at 500 W RIVER DR, DAVENPORT, IA 528011014 (Tel: 5633363000)

👤
Provider Name / Credentials Updated July 24, 2018

Recorded as AMITA GHOSH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Pediatrics (License #036145083 in IL)

NPI Profile Active June 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2015

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786 (Tel: 8064149654)

📍
Updated Business Mailing Address June 27, 2015

Registered at 8200 W AMARILLO BLVD APT NO1402, AMARILLO, TX 791242124 (Tel: 8064436177)

👤
Provider Name / Credentials Updated June 27, 2015

Recorded as AMITA GHOSH, MBBS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376925289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2015
Last Update: July 24, 2018
Sole Proprietor: No

Mailing Address

500 W River Dr

Davenport, IA 528011014

Phone: 5633363000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.