DR. SAI BHASKARA SRINIVAS SAJJA (NPI# 1255384079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255384079 |
| Entity Type | Individual |
| Full Name | DR. SAI BHASKARA SRINIVAS SAJJA |
| Credential | MD |
| Practice Address |
700 High St Williamsport PA 17701-3198 |
| Mailing Address |
1201 Grampian Blvd Suite 1k Williamsport PA 17701-1900 |
| Practice Telephone | 5703212805 |
| Practice Fax Number | 5703212806 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD423575 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2006012814 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNITEDHEALTHCARE | 2669793 | 01 |
| PA | FIRST PRIORITY HEALTH | 823275 | 01 |
| PA | AETNA | 7327783 | 01 |
| PA | 1021742350001 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 2048593 | 01 |
| Street Address |
700 HIGH ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412948 | Alfredo L Blas IIi | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2005-07-21 |
| 1013534031 | Austin Strosser | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2020-06-26 |
| 1720605728 | Kyrstin Hubbard | Pharmacist | 700 High St, Williamsport, PA 17701-3100 | 2020-06-25 |
| 1861013682 | Daniel Schuler | Student in an Organized Health Care Education/Training Program | 700 High St, Williamsport, PA 17701-3100 | 2020-05-04 |
| 1164068904 | Jeremy Tock | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-26 |
| 1144866278 | Ivan Pinsky | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2019-11-25 |
| 1659917128 | Jo Ann Evans | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3198 | 2019-11-20 |
| 1093359713 | Randy Metzger | Occupational Therapy Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-06 |
| 1629610480 | Andrea Liebersohn | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1265074389 | Trevor Joseph Hiller | Registered Nurse | 700 High St, Williamsport, PA 17701-3100 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225331184 | Casey Yossa | Surgery | 740 High St Ste 2001, Williamsport, PA 17701-3102 | 2010-12-15 |
| 1376500207 | Karla Anderson | Surgery | 740 High St, Suite 2001, Williamsport, PA 17701-3102 | 2006-04-26 |
| 1790786085 | Jay Franklin Oaks | Surgery | 740 High St, Suite 2001, Williamsport, PA 17701-3102 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on DR. SAI BHASKARA SRINIVAS SAJJA.
| 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.