POONGODHAI RAMACHANDRAN (NPI# 1265489348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265489348 |
| Entity Type | Individual |
| Full Name | POONGODHAI RAMACHANDRAN |
| Credential | MD |
| Practice Address |
1002 Texas Blvd Suite 401 Texarkana TX 75501-5107 |
| Practice Telephone | 9037948820 |
| Practice Fax Number | 9037948878 |
| Mailing Telephone | 9037948820 |
| Mailing Fax Number | 9037948878 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | L9046 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L9046 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 81962S | 01 |
| TX | 171419802 | 05 |
| Street Address |
1002 TEXAS BLVD SUITE 401 |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931902 | George Frank Moricz | Specialist | 1002 Texas Blvd, Ste 301, Texarkana, TX 75501-5118 | 2005-06-09 |
| 1609220110 | Dawn Strain | Nurse Practitioner | 1002 Texas Blvd, Suite 401, Texarkana, TX 75501 | 2016-04-20 |
| 1780046664 | Amy Matthews | Nurse Practitioner | 1002 Texas Blvd, 406, Texarkana, TX 75501-5107 | 2016-03-22 |
| 1609123322 | Tamika M Johnson | Counselor | 1002 Texas Blvd, Texarkana, TX 75501-5107 | 2012-08-13 |
| 1720357346 | Connie Beard | Counselor | 1002 Texas Blvd, Suite 320, Texarkana, TX 75501-5107 | 2011-12-28 |
| 1063740173 | Jennifer Steele Bowman | Physical Therapist | 1002 Texas Blvd, Suite 406, Texarkana, TX 75501-5107 | 2009-12-01 |
| 1871793307 | Neurosurgical Associates of Texarkana | Neurological Surgery | 1002 Texas Blvd, Suite 406, Texarkana, TX 75501-5113 | 2007-07-23 |
| 1396962775 | Norris Knight Md Orthopedics | Orthopaedic Surgery | 1002 Texas Blvd, Ste 407, Texarkana, TX 75501-5107 | 2007-04-19 |
| 1497878474 | Kevin John Formes | Internal Medicine | 1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 | 2007-04-06 |
| 1831213040 | Margaret E. Evans | Physical Therapist | 1002 Texas Blvd, Suite 406, Texarkana, TX 75501-5107 | 2007-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1457669335 | John M Strayhorn Md Pa | Internal Medicine | 1002 Texas Blvd Ste 400, Texarkana, TX 75501-5113 | 2010-09-14 |
| 1013252279 | Collom & Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2012-11-29 |
| 1780981670 | Megan Do | Internal Medicine | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2011-02-11 |
| 1366485237 | James Michael Hurley | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-14 |
| 1568404622 | Brent William Robinson | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-12 |
| 1598707572 | Minakshi J Patel | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-12 |
| 1962444166 | Charles L Melton | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-12 |
| 1215974076 | James M Hurley Md Pa | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2006-06-01 |
| 1316923329 | Joseph Justin Saporito | Internal Medicine | 2604 Saint Michael Dr, Ste 345, Texarkana, TX 75503-2379 | 2005-12-21 |
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|---|---|---|---|---|
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| 1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
| 1295354611 | Cardiocentric | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-04-15 |
| 1134750995 | Specialized Heart Care, Pllc. | Internal Medicine | 7200 N Highway 161 Ste 205, Irving, TX 75039-4132 | 2020-01-30 |
| 1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
| 1790333516 | C Care Cardiovascular Center | Internal Medicine | 1445 Bessemer Dr Ste E, El Paso, TX 79936-5909 | 2019-08-27 |
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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.