SREEKALA VASUDEVAN (NPI# 1215041975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215041975 |
Entity Type | Individual |
Full Name | SREEKALA VASUDEVAN |
Credential | M.D |
Practice Address |
200 Copeland Dr Mansfield MA 02048-1225 |
Practice Telephone | 5083394144 |
Practice Fax Number | 5082619940 |
Mailing Telephone | 5083394144 |
Mailing Fax Number | 5082619940 |
Enumeration Date | 2006-08-19 |
Last Update Date | 2014-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD 9085 | RI | Allopathic & Osteopathic Physicians |
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
257722 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
COVENTRY | 847334 | 01 | |
AETNA | 061480182 | 01 | |
CIGNA | 5881310 | 01 | |
RIBC | 0000023389 | 01 | |
UHC | 0000176100909 | 01 | |
BLUE CHIP RI | 402618 | 01 | |
TUFTS | 789085 | 01 | |
HPHC | AA7552 | 01 |
Street Address |
200 COPELAND DR |
City | MANSFIELD |
State | MA |
Zip Code | 02048-1225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548243587 | Mark T Bright | Family Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2005-11-23 |
1801203799 | Laura Falkiewicz | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2014-07-13 |
1124448428 | Beth H Dombrowski | Registered Nurse | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2014-04-24 |
1790939890 | Tobi E. Bloomwald | Social Worker | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2008-11-17 |
1972606432 | Christine A. Mullaney | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-09-07 |
1801998299 | Katherine A Mandigo | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-09-05 |
1639287352 | Lisa M. Mitchell | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-08-25 |
1194730523 | Scot E Sallaway | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-31 |
1922021229 | John Shaver | Internal Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-26 |
1407879679 | Nancy Ann Walsh | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
Find all providers in zip 02048 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679534077 | Mansfield Orthopaedic Surgery & Rheumatology Inc | Internal Medicine | 536 S Trimble Rd, Mansfield, OH 44906 | 2006-03-28 |
1235150756 | Peter A. Fischer | Internal Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-21 |
1659332054 | David S Stadnick | Internal Medicine | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164041349 | American Arthritis & Rheumatology Associates Ma PC | Internal Medicine | 1351 Main St Ste 5, Brockton, MA 02301-7153 | 2020-04-08 |
1144757337 | Gertrud M. Rastalsky Md LLC | Internal Medicine | 822 Boylston St Ste 100, Chestnut Hill, MA 02467-2504 | 2017-05-18 |
1124405105 | Elizabeth T Curtis, Md | Internal Medicine | 867 Turnpike St, North Andover, MA 01845-6142 | 2015-04-29 |
1093109142 | Benjamin Patrick Persons | Internal Medicine | 725 Albany St Ste 7b, Boston, MA 02118 | 2015-03-26 |
1295145811 | Chio Yokose | Internal Medicine | 55 Fruit Street Bulfinch 165, Boston, MA 02114 | 2014-05-05 |
1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
1346681038 | Linet Martirossian | Internal Medicine | 72 E Concord St Fl 5, Boston, MA 02118-2307 | 2013-07-10 |
1710112685 | Robert S Pinals | Internal Medicine | 18 Pickman Dr, Bedford, MA 01730-1005 | 2009-05-21 |
1982854154 | Noreen F. Bedini Ferrante | Internal Medicine | 1 Lyons St., Dedham Medical Associates, Inc., Dedham, MA 02026 | 2008-09-24 |
1518132059 | Barton L Wise | Internal Medicine | 720 Harrison Ave Ste 401, Boston, MA 02118-2371 | 2008-04-25 |
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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.