SUMA & DURGA PA (NPI# 1215250535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215250535 |
Entity Type | Organization |
Organization Name | SUMA & DURGA PA |
Other Organization Name | ADVANCED HEALTH SPECIALISTS |
Practice Address |
2243 North Blvd W Davenport FL 33837-8990 |
Mailing Address |
4693 Mandolin Loop Winter Haven FL 33884-3599 |
Practice Telephone | 8633531394 |
Practice Fax Number | 8636385722 |
Mailing Telephone | 8633531394 |
Mailing Fax Number | 8636385722 |
Enumeration Date | 2010-03-02 |
Last Update Date | 2013-08-12 |
Authorized Official Name | DR. DURGA MAGANTI (PRESIDENT) |
Authorized Official Telephone | 8639683634 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | ME 96502 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA | 1411835 | 01 | |
CIGNA | 5764074 | 01 | |
FL | 277037700 | 05 | |
WELLCARE | N379567 | 01 | |
FL | BCBS OF FL | 68856 | 01 |
Other Name | Type Code |
---|---|
Advanced Health Specialists | Doing Business As Name - Organization |
Street Address |
2243 NORTH BLVD W |
City | DAVENPORT |
State | FL |
Zip Code | 33837-8990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619075579 | Durga Prasad Maganti | Internal Medicine | 2243 North Blvd W, Davenport, FL 33837-8990 | 2006-09-21 |
1982166997 | Jeny Thomas | Nurse Practitioner | 2243 North Blvd W, Davenport, FL 33837-8990 | 2019-04-01 |
1134603020 | Ronnie Lee Moore | Nurse Practitioner | 2243 North Blvd W, Davenport, FL 33837-8990 | 2018-09-18 |
1700041282 | Sumalatha Gangina | Internal Medicine | 2243 North Blvd W, Davenport, FL 33837-8990 | 2008-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
Find all providers in zip 33837 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720332091 | Nina Mayer Olson | Specialist | 37475 Bluestem Rd E, Davenport, WA 99122-9759 | 2012-11-07 |
1336424399 | Kimberly Ann Stumpf | Specialist | 736 Federal St, Suite 2302, Davenport, IA 52803-5749 | 2011-10-20 |
1023230935 | Rainbow Pediatrics | Specialist | 40124 Highway 27, Ste 102, Davenport, FL 33837-5905 | 2007-05-02 |
1942420997 | Nola Jean Rayson-locke | Specialist | 152 Tigerlily Court, Suite 109, Davenport, FL 33836 | 2007-05-01 |
1831205640 | Melinda S O Shea | Specialist | 1510 E Rusholme Street, Davenport, IA 52803 | 2006-08-22 |
1952368383 | Pain Consultants, P.C. | Specialist | 5515 Utica Ridge Rd Suite 600, Davenport, IA 52807-3927 | 2006-04-28 |
1669439402 | Anesthesia & Pain Consultants, PC | Specialist | 5515 Utica Ridge Rd, Ste. 600, Davenport, IA 52807-3928 | 2006-04-26 |
1487634937 | Angelica M. Cano | Specialist | 2201 North Blvd W, Davenport, FL 33837-8990 | 2006-01-20 |
1346229192 | Urological Associates PC | Specialist | 3319 Spring St Ste 202, Davenport, IA 52807-2125 | 2006-01-11 |
1255320511 | Sreenivas Chintalapani | Specialist | 5041 Utica Ridge Rd, Suite 100, Davenport, IA 52807-3480 | 2005-10-19 |
Find all providers in DAVENPORT |
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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.