DR. PREETHA MUTHUSAMY (NPI# 1205001161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205001161 |
| Entity Type | Individual |
| Full Name | DR. PREETHA MUTHUSAMY |
| Credential | MD |
| Practice Address |
2422 Lake Ave 3rd Floor Ashtabula OH 44004-4985 |
| Mailing Address |
2210 Spruce Trl Unit 9 Willoughby Hills OH 44094-6702 |
| Practice Telephone | 4409947579 |
| Mailing Telephone | 3302686489 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
91308 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2422 LAKE AVE 3RD FLOOR |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130725 | Hearn Vascular, Inc. | Surgery | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2005-08-09 |
| 1992238984 | Sampurna Shakya | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2017-04-06 |
| 1699168443 | Mackenzie Acus Starns | Physician Assistant | 2422 Lake Ave, Ashtabula, OH 44004 | 2015-03-17 |
| 1801284344 | Jennifer Glaettli | Nurse Practitioner | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2015-01-07 |
| 1821357849 | Evangelos J. Bibidakis | Surgery | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2012-05-11 |
| 1780953562 | Sathish Adigopula | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2011-12-22 |
| 1992096549 | Nathaniel Scott Franley | Family Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2011-04-29 |
| 1336477629 | Ashtabula County Medical Center | Urology | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2009-11-24 |
| 1194966978 | Reham E El Gammal | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2009-03-09 |
| 1932364940 | Sanjay Kumar Srivastava | Internal Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2008-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721305 | Stephen P Fuqua | Psychiatry & Neurology | 30 E Apple St # 5254, Dayton, OH 45409-2939 | 2020-05-08 |
| 1972145431 | Columbus Neuroscience LLC | Psychiatry & Neurology | 450 Alkyre Run Ste 350, Westerville, OH 43082-6912 | 2019-10-16 |
| 1538632641 | Premier Neurology LLC | Psychiatry & Neurology | 1730 W 25th St Ste 3a, Cleveland, OH 44113-3108 | 2019-01-10 |
| 1285112862 | Andrew Kuntz | Psychiatry & Neurology | 1611 S Green Rd Ste 141, South Euclid, OH 44121-4121 | 2018-08-05 |
| 1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
| 1184075491 | Marek Cierny | Psychiatry & Neurology | 9500 Euclid Ave # S80, Cleveland, OH 44195-3522 | 2016-06-28 |
| 1952751471 | Mohamed Ridha | Psychiatry & Neurology | 260 Stetson Street Suite 2300, Mail Location 0525, Cincinnati, OH 45267-1552 | 2016-06-15 |
| 1508246422 | Rachel Pan | Psychiatry & Neurology | 135 N Ewing St Ste 204, Lancaster, OH 43130-3378 | 2015-06-05 |
| 1477940369 | Robert Joseph Stanton II | Psychiatry & Neurology | 3130 Highland Ave Fl 2, Uc Health Neurology Clinic, Cincinnati, OH 45219-2399 | 2015-04-20 |
| 1831591510 | Patrick Chauvel | Psychiatry & Neurology | Cleveland Clinic Epilepsy Ctr, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2014-09-24 |
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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.