SHARMILA SURI MOHANRAM (NPI# 1053690669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053690669 |
| Entity Type | Individual |
| Full Name | SHARMILA SURI MOHANRAM |
| Credential | MD |
| Practice Address |
1125 Madison St Capital Region Physicians Jefferson City MO 65101-5227 |
| Practice Telephone | 5736325560 |
| Mailing Telephone | 5736325560 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 2011017409 | MO | Hospitals |
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
2015004633 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE | 2015004633 | 01 |
| Street Address |
1125 MADISON ST CAPITAL REGION PHYSICIANS |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900085 | Elizabeth A Blanchard | Obstetrics & Gynecology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2005-05-23 |
| 1740807031 | Courtney R Kunze | Nurse Practitioner | 1125 Madison St, Jefferson City, MO 65101-5200 | 2020-07-02 |
| 1528685906 | Garrett Hull | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2020-07-01 |
| 1508499278 | Amy L Wyatt | Nurse Practitioner | 1125 Madison St, Jefferson City, MO 65101-5227 | 2020-02-20 |
| 1982257960 | Kahlil A Gaiters | Student in an Organized Health Care Education/Training Program | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-07-19 |
| 1710548821 | Erin Nicole Smallmon | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-06-28 |
| 1215598602 | Brian Vause | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-06-26 |
| 1770147266 | Heghineh Galstian | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-04-30 |
| 1659935005 | Anna Marie Milner | Registered Nurse | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-04-30 |
| 1972076750 | Jennifer Esther Wekenborg | Physician Assistant | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437635257 | Subha Subramanian | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-07-15 |
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on SHARMILA SURI MOHANRAM.
| 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.