VISHVANIE BERNADENE JAYASUNDERA (NPI# 1003266545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003266545 |
| Entity Type | Individual |
| Full Name | VISHVANIE BERNADENE JAYASUNDERA |
| Credential | MD |
| Practice Address |
1500 E. Medical Center Drive Ann Arbor MI 48109-5718 |
| Mailing Address |
1500 E Medical Center Dr Spc 5718 D2205 Mpb, Spc 5718 Ann Arbor MI 48109-5718 |
| Practice Telephone | 7349369777 |
| Practice Fax Number | 7349366897 |
| Mailing Telephone | 7349369777 |
| Mailing Fax Number | 7349366897 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301109775 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
4301117290 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1500 E. MEDICAL CENTER DRIVE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700808862 | Pratima Sharma | Internal Medicine | 1500 E. Medical Center Drive, 3rd Floor Taubman Ctr Recp D, Ann Arbor, MI 48109-5362 | 2006-07-24 |
| 1033737747 | Jeremy X Figueroa-ortiz | Dentist | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2020-07-09 |
| 1407472822 | Nicholas Saleem Raja | Obstetrics & Gynecology | 1500 E. Medical Center Drive, L5003 Uh South, Ann Arbor, MI 48109-5276 | 2020-06-22 |
| 1285250142 | Kathryn Krukowski | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h 247 Uh, Ann Arbor, MI 48109-5048 | 2020-06-17 |
| 1437772449 | Michael M Bair | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B1530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-26 |
| 1457974834 | Joy Obayemi | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-20 |
| 1720601149 | Connor Mitchell Smith | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109 | 2020-05-20 |
| 1164083762 | Alexander Morrison-nozik | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2019-06-25 |
| 1235790163 | Sandy Tadros | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h241 Uh, Ann Arbor, MI 48109-5048 | 2019-06-21 |
| 1558920710 | Nicole Rigas Naidoo | Dentist | 1500 E. Medical Center Drive, Medinn C213, Spc 5831, Ann Arbor, MI 48109-5831 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285906420 | Allen Dumont Md PC | Pediatrics | 911 Brown St, Ann Arbor, MI 48104-3203 | 2012-02-03 |
| 1497716112 | Amy Patricia Mikhail | Pediatrics | 911 Brown St, Ann Arbor, MI 48104-3203 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
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| 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.