MANGALORE JAIRAM SUBBARAO (NPI# 1194771113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194771113 |
| Entity Type | Individual |
| Full Name | MANGALORE JAIRAM SUBBARAO |
| Credential | M.D. |
| Practice Address |
104 E Culver Rd Suite 102 Knox IN 46534-2241 |
| Mailing Address |
2022 Kelle Dr Chesterton IN 46304-8708 |
| Practice Telephone | 5747721580 |
| Practice Fax Number | 5747721581 |
| Mailing Telephone | 2193262312 |
| Mailing Fax Number | 2193262584 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01041718 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100383520 | 05 | |
| IN | ANTHEM | 000000682354 | 01 |
| Street Address |
104 E CULVER RD SUITE 102 |
| City | KNOX |
| State | IN |
| Zip Code | 46534-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295796985 | Thomas S Spencer | Emergency Medicine | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2006-03-31 |
| 1770936965 | La Porte Clinic Company LLC | Clinic/Center | 104 E Culver Rd, Suite 102, Knox, IN 46534-2241 | 2016-07-22 |
| 1114385879 | Brooke V Butler | Nurse Practitioner | 104 E Culver Rd, 106, Knox, IN 46534-2241 | 2016-02-09 |
| 1831522085 | Nikkole Renee Chambers | Nurse Practitioner | 104 E Culver Rd, Knox, IN 46534-2241 | 2013-08-12 |
| 1598054934 | Rafal Ryszard Kurzawa | Family Medicine | 104 E Culver Rd, Ste. 106, Knox, IN 46534-2241 | 2011-04-06 |
| 1205067816 | Cni Starke, LLC | Surgery | 104 E Culver Rd, Suite 102, Knox, IN 46534-2241 | 2009-07-30 |
| 1801063268 | Healthlinc, Inc | Clinic/Center | 104 E Culver Rd, Suite 106, Knox, IN 46534 | 2008-05-14 |
| 1821281460 | Starke Physician Practices LLC | Surgery | 104 E Culver Rd, Suite 102, Knox, IN 46534-2216 | 2007-08-27 |
| 1790805125 | Starke Physician Practices LLC | Surgery | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304896 | Rocky Mountain Holdings, LLC | Ambulance | 1795 N 200 E, Knox, IN 46534 | 2017-09-08 |
| 1275918476 | Kimberly R Welsh | Social Worker | 2 S. Pearl Street, Knox, IN 46534 | 2015-07-29 |
| 1013300797 | Michelle Burbank | Social Worker | 1001 Edgewood Dr. Suite 1, Knox, IN 46534 | 2015-03-05 |
| 1649598392 | Dennis George Ogilvie | Dentist | 1191 A South Heaton, Knox, IN 46534 | 2010-05-05 |
| 1790827707 | Knox Community School Corporation | Local Education Agency (LEA) | #2 Redskin Trail, Knox, IN 46534 | 2007-02-13 |
| 1225100787 | Beacon Health Ventures Inc | Durable Medical Equipment & Medical Supplies | 2602 South U.S. 35, Knox, IN 46534 | 2006-11-13 |
| 1437184199 | Liberty Dialysis - Duneland LLC | Clinic/Center | 1008 Edgewood Drive, Knox, IN 46534 | 2006-07-11 |
| 1881634566 | Elizabeth A Wetzel | Family Medicine | 2 S Pearl St, Knox, IN 46534 | 2006-06-08 |
| 1386602910 | Cameron R Gilbert | Psychologist | 1901 S Heaton St, Knox, IN 46534 | 2006-05-03 |
| 1841364429 | Gregory J. Wittig | Dentist | 1800 S. U.S. 35, Knox, IN 46534-0152 | 2006-11-17 |
| Find all providers in zip 46534 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205067816 | Cni Starke, LLC | Surgery | 104 E Culver Rd, Suite 102, Knox, IN 46534-2241 | 2009-07-30 |
| 1821281460 | Starke Physician Practices LLC | Surgery | 104 E Culver Rd, Suite 102, Knox, IN 46534-2216 | 2007-08-27 |
| 1790805125 | Starke Physician Practices LLC | Surgery | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
| 1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MANGALORE JAIRAM SUBBARAO.
| 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.