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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | E-12069 | AR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Medical Center Blvd. 6th Floor Janewa, Wake Forest Baptist Health Eye Cen, Winston-salem, Nc, NC 27157 | 3367130747 |
| 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 |
| Street Address |
2783 N SHILOH DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704 |
| 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 | ||||
| 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 Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| 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 | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
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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.