DR. NISHA K SURENDERANATH


Address: 2100 Clinch Ave Ste 420, Knoxville, TN 37916-2231
Phone: 8655220420

DR. NISHA K SURENDERANATH (NPI# 1003992686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003992686
Entity Type Individual
Full Name DR. NISHA K SURENDERANATH
Credential M.D.
Practice Address 2100 Clinch Ave Ste 420
Knoxville
TN 37916-2231
Mailing Address 8707 Ellington Way
Chattanooga
TN 37421-3379
Practice Telephone 8655220420
Practice Fax Number 8778016771
Mailing Telephone 4234634713
Mailing Fax Number 4234634713
Enumeration Date 2006-10-27
Last Update Date 2020-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
42283 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3000900 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
910 Blackford St, Chattanooga, TN 374031405 4237786180

Office Location

Street Address 2100 CLINCH AVE STE 420
City KNOXVILLE
State TN
Zip Code 37916-2231

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477151322 Chelsea Raye Tanner Registered Nurse American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 2020-10-13
1003473372 Mary Katrina Quist Rouse Nurse Practitioner 2100 Clinch Ave Ste 330, Knoxville, TN 37916 2019-05-22
1457881724 Leslie Lynette Taylor Physical Medicine & Rehabilitation 2120 Highland Avenue, Knoxville, TN 37916 2017-06-19
1235547423 Publix Tennessee LLC Durable Medical Equipment & Medical Supplies 2429 University Commons Way, Knoxville, TN 37916 2014-07-31
1801182340 Jessica Lee Sheah Psychiatry & Neurology 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 2011-06-23
1326203548 Bradley Jason Davis Internal Medicine 1819 Clinch Ave Ste 114, Knoxville, TN 37916 2008-07-28
1003012782 East Tennessee Children's Hospital Association, Inc Clinic/Center 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 2007-06-21
1922203108 East Tennessee Children's Hospital Primary Care Center, Inc. Clinic/Center 611 22nd Street, Knoxville, TN 37916 2007-06-18
1699825984 Orthodontic Design By Michael Sawaf Dentist 2220 White Ave, Knoxville, TN 37916 2007-01-11
1427115096 Deborah Lynne Maples Physical Therapy Assistant Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 2007-01-03
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265666747 East Tennessee Pediatric Cardiology, P.C. Pediatrics 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 2009-05-12
1013091123 Michael R Liske Pediatrics 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 2006-10-25
1124072095 Sumeet K. Sharma Pediatrics 2100 W Clinch Ave, Koppel Plaza, Ste 420, Knoxville, TN 37916-2219 2006-05-22
1598744336 Jeffory Glenn Jennings Pediatrics 2100 W Clinch Ave, Koppel Plaza, Ste 420, Knoxville, TN 37916-2219 2006-01-11
1356320311 Yvonne A Bremer Pediatrics 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 2006-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851766760 Jami Shakibi Pediatrics 812 Cobble Cv, Nashville, TN 37211-7934 2015-12-03
1275970048 Benjamin Acheampong Pediatrics 3601, Nashville, TN 37232-0001 2013-06-03
1053758516 Nicole Kristen Perry Pediatrics 330 23rd Ave N Ste 550, Nashville, TN 37203-1706 2013-05-23
1578856985 Jerry Don Walkup Jr. Pediatrics 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 2011-05-17
1740216514 Nancy Ann Chase Pediatrics 805 Estate Pl Ste 1, Memphis, TN 38120-0647 2006-06-24
1194772178 Gerald Johnson Pediatrics 6148 Lee Hwy Ste 206, Chattanooga, TN 37421 2006-05-27
1376533489 Ashish B Madhok Pediatrics 2312 Knob Creek Rd, Suite208, Johnson City, TN 37604-2367 2005-10-28
1679560288 James K Stamps Pediatrics 80 Humphreys Center, Suite 230, Memphis, TN 38120 2005-09-29
1548255276 Fred S Lamb Pediatrics 5111 Dot, 2200 Childrens Way, Nashville, TN 37232-0001 2005-09-19
1679126056 Knoxville Pediatric Cardiology Morristown Pediatrics 1817 W Morris Blvd, Morristown, TN 37813-2837 2019-07-24
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Competitor

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City KNOXVILLE
Zip Code 37916

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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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