DR. AVINASH V MANTRAVADI (NPI# 1174789564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174789564 |
| Entity Type | Individual |
| Full Name | DR. AVINASH V MANTRAVADI |
| Credential | MD |
| Practice Address |
8820 S Meridian St Indianapolis IN 46217-6057 |
| Mailing Address |
250 N Shadeland Ave Provider Enrollment Ste 130 Indianapolis IN 46219-4959 |
| Practice Telephone | 3178656700 |
| Practice Fax Number | 3178656707 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 01072985A | IN | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | ME112145 | FL | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 125053425 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000836361 | 01 |
| IN | 201180760 | 05 |
| Street Address |
8820 S MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46217-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265473565 | Warren J Hoyt | Family Medicine | 8820 S Meridian St, Ste 200, Indianapolis, IN 46217-6058 | 2006-06-09 |
| 1285080200 | Hand Surgery Associates of Indiana, Inc. | Durable Medical Equipment & Medical Supplies | 8820 S Meridian St, Ste. 235, Indianapolis, IN 46217-6056 | 2016-05-09 |
| 1598100273 | Bryan Matthew Leber | Pediatrics | 8820 S Meridian St, Suite 125, Indianapolis, IN 46217-6056 | 2013-05-07 |
| 1659690550 | Lena Jo Franklin | Family Medicine | 8820 S Meridian St, Ste 200, Indianapolis, IN 46217-6058 | 2010-05-18 |
| 1821323387 | Tina Marie Flack | Social Worker | 8820 S Meridian St, Ste 225, Indianapolis, IN 46217-6056 | 2009-10-16 |
| 1649404377 | Michael J Maksimovich | Social Worker | 8820 S Meridian St, Ste 225, Indianapolis, IN 46217-6064 | 2009-05-09 |
| 1285881680 | Wendy S. Stoelting-gettelfinger | Nurse Practitioner | 8820 S Meridian St, Ste 120, Indianapolis, IN 46217-6057 | 2008-08-27 |
| 1912185547 | Aris Rodel Oliquino Abeleda | Family Medicine | 8820 S Meridian St, Suite 120, Indianapolis, IN 46217-6056 | 2008-02-06 |
| 1972799971 | Stacy D Veach | Social Worker | 8820 S Meridian St, Suite 225, Indianapolis, IN 46217-6056 | 2007-09-24 |
| 1871666529 | Kimberly Kimberly Varner | Physical Therapist | 8820 S Meridian St, Suite 235, Indianapolis, IN 46217-6056 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1457900375 | Kara Combs | Technician | 8737 Winding Ridge Rd, Indianapolis, IN 46217 | 2019-09-04 |
| 1750789459 | Stephanie Johnson | Specialist/Technologist | 8542 Gallant Fox Dr., Indianapolis, IN 46217 | 2014-12-11 |
| 1336480623 | Lauren Marie Carter | Nurse Practitioner | 8970 S Meridian St., Indianapolis, IN 46217 | 2013-03-12 |
| 1912175662 | Staci L Vanzant | Social Worker | 8820 N Meridian St, Ste 225, Indianapolis, IN 46217 | 2008-02-15 |
| 1568684934 | Lifetime Dental Care of Indiana, PC | Dentist | 8923 South Meridian Street, Suite B, Indianapolis, IN 46217 | 2007-05-03 |
| 1912093659 | Anna Marie Heidenreich | Pharmacist | 8820 S Meridian #105, Indianapolis, IN 46217 | 2006-10-04 |
| 1669955449 | Jason Soultz | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217 | 2018-09-08 |
| 1649400896 | Nakeeta Stansberry | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217 | 2009-07-22 |
| 1316083652 | Linnea J. Nelson | Family Medicine | 6925 S Harding St, Suite B-1, Indianapolis, IN 46217 | 2007-01-30 |
| Find all providers in zip 46217 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881221208 | Morgan Sandelski | Otolaryngology | 2015 Central Ave, Indianapolis, IN 46202-1634 | 2020-03-25 |
| 1437687126 | Dhruv Sharma | Otolaryngology | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2017-05-25 |
| 1043658818 | Jessica A. Yesensky | Otolaryngology | 1544 Carrollton Ave, Indianapolis, IN 46202-2717 | 2013-06-13 |
| 1952689085 | Swapna A Eisinger | Otolaryngology | 5255 E Stop 11 Rd Ste 400, Indianapolis, IN 46237-6341 | 2011-07-22 |
| 1831357722 | Kelly Kathryn Hiatt | Otolaryngology | 1400 N Ritter Ave Ste 230, Indianapolis, IN 46219-3046 | 2008-05-28 |
| 1639291271 | Otolaryngology Associates LLC | Otolaryngology | 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 | 2007-04-04 |
| 1851427900 | Michael Geoffrey Moore | Otolaryngology | 550 University Boulevard, Suite 3170, Indianapolis, IN 46202-5149 | 2007-02-25 |
| 1740347194 | Thomas H Fairchild | Otolaryngology | 5255 East Stop 11 Road, Suite 400, Indianapolis, IN 46237-6341 | 2007-01-03 |
| 1427015833 | Dean J Trigg | Otolaryngology | 8402 Harcourt Rd Ste 400, Indianapolis, IN 46260-2053 | 2006-04-28 |
| 1386138535 | Timothy J Shin | Otolaryngology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2018-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46217 |
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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.