KRISHNA RAO SURAPANENI


Address: 2783 N Shiloh Dr, Fayetteville, AR 72704
Phone: 4797554510

KRISHNA RAO SURAPANENI (NPI# 1215321427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215321427
Entity Type Individual
Full Name KRISHNA RAO SURAPANENI
Credential M.D.
Practice Address 2783 N Shiloh Dr
Fayetteville
AR 72704
Mailing Address 2783 N Shiloh Dr
Fayetteville
AR 72704-6983
Practice Telephone 4797554510
Mailing Telephone 4797554510
Enumeration Date 2015-03-25
Last Update Date 2019-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology E-12069 AR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Medical Center Blvd. 6th Floor Janewa, Wake Forest Baptist Health Eye Cen, Winston-salem, Nc, NC 27157 3367130747

Other Providers KRISHNA SURAPANENI

NPI Name Taxonomy Address Enumeration
1629504881 Krishna Surapaneni Pharmacist 747 Irvington Avenue, Maplewood, NJ 07040 2017-05-10
1295030096 Krishna Surapaneni Obstetrics & Gynecology 1000 S Anaheim Blvd Ste 300, Anaheim, CA 92805-5804 2011-01-26
1952540700 Krishna Surapaneni Radiology 12554 Riata Vista Cir, Austin, TX 78727-6431 2009-02-18

Office Location

Street Address 2783 N SHILOH DR
City FAYETTEVILLE
State AR
Zip Code 72704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891757399 Steven D. Vold Ophthalmology 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2006-04-03
1851858252 David Patrick Hurd Optometrist 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2019-02-22
1427522366 Vold Vision Pllc Optometrist 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2019-01-14
1083191555 Emma Hendricks Optometrist 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2018-07-26
1891211025 Brendon Cox Optometrist 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2017-08-18
1639528599 Rikki Enzor Ophthalmology 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2016-06-10
1356752091 Joshua Frenkel Ophthalmology 2783 N Shiloh Dr, Fayetteville, AR 72704 2014-05-15
1073888103 Surgery By Vold Vision Clinic/Center 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2012-03-22
1558657619 Vold Vision Pllc Optometrist 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2011-06-27
1821228552 Michael Robert Mcfarland Optometrist 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2009-07-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598387037 Anne-ashley Hull Speech-Language Pathologist 12905 Randolph Road, Fayetteville, AR 72704 2020-05-07
1427607019 Destiny Bound, LLC Midwife 3825 N Salem Road, Fayetteville, AR 72704 2019-09-06
1043796881 Travis Alexander Physical Therapist 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 2018-07-16
1104319433 Rise Physical Therapy Pa Clinic/Center 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 2018-06-12
1346744232 Wedington Dental, Pllc Clinic/Center 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 2018-03-23
1528410487 Sharon Byrd Licensed Practical Nurse 17836 Harmon Rd, Fayetteville, AR 72704 2016-07-05
1861823502 Andrea Warren Pharmacist 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 2013-12-05
1609157726 Jessica Rose Collier Speech-Language Pathologist 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 2011-09-02
1194044941 Wcnc, Inc. Skilled Nursing Facility 4405 Persimmon Street, Fayetteville, AR 72704 2010-05-19
1841512944 Jill K Johnston Speech-Language Pathologist 3472 N Sandpiper Dr, Fayetteville, AR 72704 2010-02-17
Find all providers in zip 72704

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417394404 Hans Barron Heymann Ophthalmology 613 N Willow Ave, Fayetteville, AR 72701-3550 2013-05-30
1770821324 Ernest Mitchell Singleton Ophthalmology 1793 E Manchester Dr, Fayetteville, AR 72703-6224 2013-01-16
1891910618 Fayette Medical Clinic Optical Shop Ophthalmology 101 Yorktown Dr Ste 225, Fayetteville, GA 30214-1568 2007-04-16
1598878571 Shelby Stephenson Ophthalmology 414 Owen Dr, Fayetteville, NC 28304-3416 2006-08-16
1871521625 Michael George Woodcock Ophthalmology 2047 Valleygate Dr, Fayetteville, NC 28304-3688 2006-06-29
1285686865 Jimmie Wayne Riggins Ophthalmology 1726 Metromedical Dr, Fayetteville, NC 28304-3861 2006-05-16
1164473468 Kellye A Smith Ophthalmology 594 E Millsap Rd, Fayetteville, AR 72703-4096 2006-05-12
1639136229 Shelby A Stephenson Ophthalmology 1629 Owen Dr, Fayetteville, NC 28304-3425 2006-04-27
1760446181 Brian D Long Ophthalmology 340 Brandywine Blvd, Fayetteville, GA 30214-1562 2006-04-13
1891757399 Steven D. Vold Ophthalmology 2783 N Shiloh Dr, Fayetteville, AR 72704-6983 2006-04-03
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 72704

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Dataset Information

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.

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