SHANMUGA PRIYAN VASUDEVAN (NPI# 1245670678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245670678 |
| Entity Type | Individual |
| Full Name | SHANMUGA PRIYAN VASUDEVAN |
| Credential | MD |
| Practice Address |
1221 S Gear Ave West Burlington IA 52655-1679 |
| Practice Telephone | 3197681000 |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 125063503 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1221 S GEAR AVE |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013536820 | Sean R West | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-11 |
| 1316566268 | Debra Lynn Herrick | Speech-Language Pathologist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-10 |
| 1356980031 | Justine Link | Nurse Practitioner | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-30 |
| 1841838638 | Julie Ann Snavely | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
| 1033757828 | Jill Ann Nealey | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
| 1861049454 | Jennifer L Hellman | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-08-20 |
| 1659841690 | Andrew Robert Klein | Physician Assistant | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-12-03 |
| 1013498120 | Seth Olson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-27 |
| 1447730882 | Carmen Johnson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-15 |
| 1164918330 | Adam Mcmann | Registered Nurse | 1221 S Gear Ave, West Burlington, IA 52655 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1184870891 | Yogesh Kiranraj Sanghvi | Internal Medicine | 1223 S Gear Ave Ste 101, West Burlington, IA 52655-1690 | 2008-08-13 |
| 1699749572 | Olufemi Oladele-ajose Md PC | Internal Medicine | 118 W Wheeler St, West Burlington, IA 52655-1247 | 2006-02-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| 1588022818 | Eli Fouerte | Internal Medicine | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2016-02-01 |
| 1992189831 | Rauf Javadov | Internal Medicine | 1221 S Gear Ave, West Burlington, IA 52655 | 2015-07-09 |
| 1346554912 | Mohammad Mahmoud Hasan Alhyari | Internal Medicine | 1225 S Gear Ave, Mercy Plaza, Suite 152, West Burlington, IA 52655-1691 | 2010-08-05 |
| 1164752499 | Walid Saad | Internal Medicine | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2010-01-08 |
| 1598960452 | David E. Fishbaugher | Internal Medicine | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2007-06-19 |
| 1558381426 | John J Rashid | Internal Medicine | 1223 S Gear Ave, Ste 304, West Burlington, IA 52655-1682 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1194349076 | Tyler Vance | Internal Medicine | 9005 Bridgewood Blvd Unit 6210, West Des Moines, IA 50266-8198 | 2020-06-05 |
| 1154943900 | Taylor Christine Becker | Internal Medicine | 200 Hawkins Dr., E326-2 Gh, Iowa City, IA 52242-1009 | 2020-05-15 |
| 1659901031 | Gitangali Singh Md Pllc | Internal Medicine | 47 Crabapple Ct, Iowa City, IA 52246-9408 | 2020-01-24 |
| 1245882497 | The Iowa Clinic Executive Health | Internal Medicine | 5950 University Ave Fl 3, West Des Moines, IA 50266-8216 | 2019-07-09 |
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1780241679 | Kendra Walker Tan | Internal Medicine | 200 Hawkins Dr Dept Internal, Iowa City, IA 52242-1009 | 2019-05-25 |
| 1649837840 | Tyler Craig Bullis | Internal Medicine | 200 Hawkins Dr Dept Int, Iowa City, IA 52242-1009 | 2019-05-22 |
| 1538722152 | Adam Ethan Prescott | Internal Medicine | University of Iowa Hospitals & Clinics (uihc), 200 Hawkins Drive, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2019-04-18 |
| 1548749674 | Kerry Humes | Internal Medicine | 1320 W Lombard St, Davenport, IA 52804-2029 | 2018-08-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.