SARULATHA M KUPPA (NPI# 1093911083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093911083 |
| Entity Type | Individual |
| Full Name | SARULATHA M KUPPA |
| Credential | MD |
| Practice Address |
14040 Northdale Blvd Rogers MN 55374 |
| Mailing Address |
1435 Hampshire Ave S #212 St Louis Park MN 55426-2167 |
| Practice Telephone | 7634884100 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 49173 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
14040 NORTHDALE BLVD |
| City | ROGERS |
| State | MN |
| Zip Code | 55374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700806833 | Sara Frankwick | Family Medicine | 14040 Northdale Blvd, Suite 100, Rogers, MN 55374-9612 | 2006-07-20 |
| 1851860506 | Diane Menzies Alderman | Nurse Practitioner | 14040 Northdale Blvd, Rogers, MN 55374-9612 | 2018-11-23 |
| 1295180917 | Donald Joe Fahey-ahrndt | Family Medicine | 14040 Northdale Blvd, Rogers, MN 55374 | 2016-05-02 |
| 1124256128 | Fairview Health Services | Clinic/Center | 14040 Northdale Blvd, Ste 10, Rogers, MN 55374-9612 | 2009-06-29 |
| 1124210760 | Fairview Clinics | Clinic/Center | 14040 Northdale Blvd, Ste 10, Rogers, MN 55374-9612 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1770100752 | Totem Health Pllc | Family Medicine | 1001 S 52nd St Ste 2, Rogers, AR 72758-8610 | 2020-06-25 |
| 1477932242 | Kylie Quick Rhodes | Family Medicine | 2603 W Pleasant Grove Rd Ste 109, Rogers, AR 72758-8514 | 2015-05-26 |
| 1689081762 | John A Huskins Md LLC | Family Medicine | 6 S Clubhouse Dr, Rogers, AR 72758-9563 | 2014-07-21 |
| 1760521777 | Nicole M. Scally | Family Medicine | 2000 S Promenade Blvd, Suite 202, Rogers, AR 72758-9073 | 2007-02-06 |
| 1700806833 | Sara Frankwick | Family Medicine | 14040 Northdale Blvd, Suite 100, Rogers, MN 55374-9612 | 2006-07-20 |
| 1366409930 | David J Foscue | Family Medicine | 1615 W Persimmon St, Rogers, AR 72756-3359 | 2006-04-27 |
| 1831159219 | Kari Ann Hegg | Family Medicine | 14165 James Rd Ste 107, Rogers, MN 55374-9420 | 2006-03-28 |
| 1386613503 | Ornette L Gaines | Family Medicine | 1233 W Poplar St, Rogers, AR 72756-4245 | 2006-03-17 |
| 1164496105 | Caleb O Gaston | Family Medicine | 5206 Village Pkwy Ste 10, Rogers, AR 72758-8137 | 2006-02-15 |
| Find all providers in ROGERS | ||||
Please comment or provide details below to improve the information on SARULATHA M KUPPA.
| 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.