BARBARA ANN SUDHOLT M.D. NPI 1780735308

NPI Information

NPI: 1780735308
Provider Name: BARBARA ANN SUDHOLT, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
340 W LINCOLN ST STE 300
BELLEVILLE, IL
ZIP 62220
Phone: (618) 235-4883
Get Directions

Barbara Ann Sudholt, M.D. is a pulmonary disease internal medicine in Belleville, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Barbara Ann Sudholt, M.D. NPI is 1780735308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

340 W LINCOLN ST STE 300
BELLEVILLE, IL
ZIP 62220-900
Phone: (618) 235-4883
Fax: (618) 235-9573

The enumeration date for this NPI number is 1/12/2007 and was last updated on 9/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	36078217	ILLINOIS	No
2	207RS0012X	Internal Medicine	Sleep Medicine	36078217	ILLINOIS	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	36078217	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CF6007	OTHER	ILLINOIS	RAILROAD MEDICARE
2	48-09006	OTHER	ILLINOIS	UNITED HEALTHCARE
3	682250	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	88170	OTHER	ILLINOIS	HEALTH ALLIANCE
5	08215136	OTHER	ILLINOIS	FEDERAL BLUE CROSS
6	L013062	OTHER	ILLINOIS	TRICARE
7	235930	OTHER	ILLINOIS	HARMONY
8	8215136	OTHER	ILLINOIS	BCBS OF IL
9	E18724	MEDICARE UPIN	ILLINOIS
10	36078217	MEDICAID	ILLINOIS
11	2210404001	OTHER	ILLINOIS	CIGNA
12	300242	OTHER	ILLINOIS	HEALTH PARTNERS
13	122577	OTHER	ILLINOIS	HEALTHLINK
14	371067092003	OTHER	ILLINOIS	PRUDENTIAL
15	4466070	OTHER	ILLINOIS	AETNA
16	L02955	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
17	BLC21543	OTHER	MISSOURI	BLUE CHOICE OF MISSOURI
18	28568	OTHER	MISSOURI	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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