RAGHAVENDRA SRINIVASA (NPI# 1023070463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023070463 |
| Entity Type | Individual |
| Full Name | RAGHAVENDRA SRINIVASA |
| Credential | MD |
| Practice Address |
3 Flowers Dr Mechanicsburg PA 17050-1701 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 7176121830 |
| Practice Fax Number | 7176121850 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD072632L | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD072632L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019273200 | 05 | |
| PA | AETNA | 7196404 | 01 |
| PA | HIGHMARK BLUE SHIELD | 001431845 | 01 |
| Street Address |
3 FLOWERS DR |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17050-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718930 | Mary A Bartas White | Psychiatry & Neurology | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2005-11-28 |
| 1366828188 | Holy Spirit Hospital | Clinic/Center | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2015-08-04 |
| 1700127966 | Todd David Shirley | Counselor | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2013-03-12 |
| 1336485291 | Abby Meck | Counselor | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2012-12-21 |
| 1164700373 | Holy Spirit Hospital | Counselor | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2011-07-22 |
| 1790979490 | Courtney Kaye Baker | Psychiatry & Neurology | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2007-09-05 |
| 1255398319 | Vernne W Greiner | Family Medicine | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2006-05-01 |
| 1376518993 | The Milton S Hershey Medical Center Physicians Group | Family Medicine | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2006-02-17 |
| 1790768448 | Barbara Sumbatian | Psychiatry & Neurology | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459381 | Agape Counseling of Central Penn | Counselor | 5249 Simpson Ferry Rd., Mechanicsburg, PA 17050 | 2019-07-24 |
| 1316590300 | Elizabeth Vanpelt | Social Worker | 2023 Mountain Pine Dr., Mechanicsburg, PA 17050 | 2019-07-19 |
| 1760967392 | Megan Michele Okafor | Family Medicine | 335 Lambs Gap Road, Mechanicsburg, PA 17050 | 2018-09-28 |
| 1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1699151183 | Barry Alan Wingard | Surgery | 1615 Jerusalem Road, Mechanicsburg, PA 17050 | 2015-08-06 |
| 1720488737 | Jonathan Thomas Milliron | Physical Therapist | 5103 Carliste Pike, Gilbert Physical Therapy Affiliate of Outpatient Physic, Mechanicsburg, PA 17050 | 2014-08-27 |
| 1952652554 | Behavioral Health PC | Counselor | 1229 Scenery Dr, Mechanicsburg, PA 17050 | 2012-09-24 |
| 1194091546 | John Clinton Stoner | Pediatrics | 5385 Rivendale Blvd., Mechanicsburg, PA 17050 | 2012-03-30 |
| 1922394634 | Mary Ann Nowak Stetz | Social Worker | 1016 Crystal Creek Circle, Mechanicsburg, PA 17050 | 2011-06-21 |
| Find all providers in zip 17050 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718930 | Mary A Bartas White | Psychiatry & Neurology | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2005-11-28 |
| 1790979490 | Courtney Kaye Baker | Psychiatry & Neurology | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2007-09-05 |
| 1790768448 | Barbara Sumbatian | Psychiatry & Neurology | 3 Flowers Dr, Mechanicsburg, PA 17050-1701 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSBURG |
| Zip Code | 17050 |
Please comment or provide details below to improve the information on RAGHAVENDRA SRINIVASA.
| 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.