RAJITHA SIDDINENI (NPI# 1154552891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154552891 |
| Entity Type | Individual |
| Full Name | RAJITHA SIDDINENI |
| Credential | MD |
| Practice Address |
532 Sumner Ave Springfield MA 01108-2458 |
| Practice Telephone | 4137391100 |
| Practice Fax Number | 4137371643 |
| Mailing Telephone | 4137391100 |
| Mailing Fax Number | 4137371643 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 253195 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FS1625980 | 01 | |
| MA | 1310097 | 05 | |
| MA | CONTROLLED SUBSTANCE REGISTRATION | MS0891300A | 01 |
| Street Address |
532 SUMNER AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124080353 | Jayne Rohrbacher | Pediatrics | 532 Sumner Ave, Springfield, MA 01108-2458 | 2006-04-04 |
| 1063079218 | Hien Truong | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2019-05-23 |
| 1841607629 | Gail R Boyer | Nurse Practitioner | 532 Sumner Ave, Springfield, MA 01108-2458 | 2014-07-14 |
| 1801221510 | Ayesha Husain Pardesi | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2013-09-12 |
| 1235432360 | Lucila Bruno | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2010-12-11 |
| 1396062394 | Caring Health Center, Inc | Clinic/Center | 532 Sumner Ave, Springfield, MA 01108-2458 | 2010-04-29 |
| 1043449556 | Thaida Duong | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2009-07-06 |
| 1710190459 | Robert Biskop | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2007-05-08 |
| 1396958195 | Anthony M Boschetti | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2007-05-08 |
| 1932234200 | Neetu Kainth | Dentist | 532 Sumner Ave, Springfield, MA 01108-2458 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700256419 | Samantha Shirley | Specialist/Technologist | 6 Sumner Avenue, Apt 11, Springfield, MA 01108 | 2015-10-07 |
| 1073868543 | Caroline Alicia Bixby | Counselor | 95 Granby St, Springfield, MA 01108 | 2012-07-19 |
| 1659521508 | Heidi Walter | Counselor | 40 Eleanor Rd, Springfield, MA 01108 | 2008-09-29 |
| 1316154289 | Tamador S Gibreel | Counselor | 15 Lenox Street, Springfield, MA 01108 | 2007-05-17 |
| 1831219203 | Patricia Ann Langlitz | Massage Therapist | 80 Sumner Avenue, Springfield, MA 01108 | 2007-03-30 |
| 1548397920 | Bennett N Gaev | Psychiatry & Neurology | 167 Dwight Rd # 104, Longmeadow, MA 01108 | 2007-02-27 |
| 1841332145 | Emanuel Bonifale Brown | Counselor | 227 Mill Street, Springfield, MA 01108 | 2007-02-13 |
| 1639231863 | Robert Francis Vanvalkenburg | Dentist | 529 White St, Springfield, MA 01108 | 2006-12-14 |
| 1336214238 | Jeffrey Lee Lite | Dentist | 390 Sumner Ave, Springfield, MA 01108 | 2006-11-24 |
| 1043310477 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 615 621belmont Ave, Springfield, MA 01108 | 2006-09-25 |
| Find all providers in zip 01108 | ||||
| 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. |
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|---|---|---|---|---|
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
| 1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
| 1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
| 1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
| 1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
| 1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01108 |
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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.