DR. SUBRAMANYAM YADAM (NPI# 1023126448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023126448 |
| Entity Type | Individual |
| Full Name | DR. SUBRAMANYAM YADAM |
| Credential | M.D. |
| Practice Address |
4201 Campus Ridge Drive Midland MI 48640 |
| Mailing Address |
4201 Campus Ridgedrive Midland MI 48640 |
| Practice Telephone | 9894885450 |
| Practice Fax Number | 9894885455 |
| Mailing Telephone | 9894885450 |
| Mailing Fax Number | 9894885455 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
SY038909 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
SY038909 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2120984 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 2905610541 | 01 |
| Street Address |
4201 CAMPUS RIDGE DRIVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541441 | Wilfred Lewis Vander Roest | Internal Medicine | 4201 Campus Ridge Drive, Midland, MI 48640 | 2005-07-12 |
| 1538511571 | Kathryn E Esch | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2016-07-01 |
| 1952793622 | Steven Laporte | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-03-04 |
| 1790177707 | Devon Brodie | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-02-27 |
| 1407259658 | Erik Kuhl | Physician Assistant | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-10-02 |
| 1689082406 | Ardeth Greene | Registered Nurse | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-07-24 |
| 1790196145 | Sharon Hakes | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-05-19 |
| 1487077301 | Jamie Trumble | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-01-29 |
| 1609217603 | Jennifer A Muzzy | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2013-07-08 |
| 1861775959 | Stephanie Marie Mallord | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2011-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225170103 | John M Mckenna | Internal Medicine | 2201 W Tennessee Ave, Midland, TX 79701-5904 | 2007-02-13 |
| 1326047952 | Laurence W Cunningham | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2005-07-15 |
| 1124009766 | Pankaj J Patel | Internal Medicine | 4214 Andrews Hwy, Suite 108, Midland, TX 79703-4822 | 2005-11-10 |
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|---|---|---|---|---|
| 1912506684 | Night Hawk Sleep Systems, Inc. | Internal Medicine | 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 | 2020-10-22 |
| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
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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.