SASIKALA SANNAPAREDDY (NPI# 1104870781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104870781 |
| Entity Type | Individual |
| Full Name | SASIKALA SANNAPAREDDY |
| Credential | M.D. |
| Practice Address |
63 Main St Brockton MA 02301-4012 |
| Mailing Address |
63 Main St Brockton MA 02301-4342 |
| Practice Telephone | 5085596699 |
| Practice Fax Number | 5085834649 |
| Mailing Telephone | 5085591567 |
| Mailing Fax Number | 5085595073 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 226752 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS/BLUE SHIELD | J29983 | 01 |
| Street Address |
63 MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602223 | Kathleen P Pringle | Advanced Practice Midwife | 63 Main St, Brockton, MA 02301-4042 | 2005-07-11 |
| 1639770548 | Meredith Hansen | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-11-06 |
| 1699399824 | Maya Don Chay | Registered Nurse | 63 Main St, Brockton, MA 02301-4042 | 2020-06-03 |
| 1588204259 | Jennifer Koningisor | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-01-10 |
| 1679112163 | Bianca St. Louis | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-12-31 |
| 1245877505 | Sarah Beth Blodgett | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-12-05 |
| 1235780107 | Chloe Martin | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-09-23 |
| 1417505967 | Elizabeth Coley | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-28 |
| 1225683758 | Rachel Revis | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-01 |
| 1376105130 | Johanne Cazeau | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1073166393 | Lindsay Jill Kaplan | Family Medicine | 1 Pearl St Ste 2100, Brockton, MA 02301-2868 | 2019-07-17 |
| 1811980931 | Olivera B Boskovska | Family Medicine | 110 Liberty Street, Brockton, MA 02301 | 2005-08-24 |
| 1700369436 | Jacine Yael Vilches | Family Medicine | 103 Commercial St, Brockton, MA 02302-3133 | 2018-09-10 |
| 1841670536 | Luei Wern Ong | Family Medicine | 110 Liberty St, Brockton, MA 02301-5521 | 2015-06-08 |
| 1235543794 | Sasha Gittens | Family Medicine | 63 Main St, Brockton, MA 02301-4042 | 2014-06-12 |
| 1740621051 | Maulshree Gupta | Family Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2013-07-15 |
| 1558636373 | Jennifer Hall Difalco | Family Medicine | 111 Torrey St, Brockton, MA 02301-4800 | 2012-03-12 |
| 1124301304 | Shruti Pathak | Family Medicine | 63 Main St, Suite 1, Brockton, MA 02301-4042 | 2011-09-23 |
| 1154619682 | Sunny R Chavan | Family Medicine | 63 Main St, Brockton, MA 02301-4042 | 2011-07-18 |
| 1932495835 | Ajith Thomas Mathew | Family Medicine | 680 Centre St, Brockton, MA 02302-3308 | 2011-06-20 |
| Find all providers in BROCKTON | ||||
Please comment or provide details below to improve the information on SASIKALA SANNAPAREDDY.
| 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.