DR. IMARA R DISSANAYAKE (NPI# 1295796969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295796969 |
Entity Type | Individual |
Full Name | DR. IMARA R DISSANAYAKE |
Credential | MD |
Practice Address |
5501 Old York Rd Phila PA 19144 |
Mailing Address |
101 East Olney Ave Ste 400 Philadelphia PA 19120 |
Practice Telephone | 2154566970 |
Practice Fax Number | 2154567154 |
Mailing Telephone | 2154567000 |
Mailing Fax Number | 2152542599 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2011-12-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD072898L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 001866922 | 05 |
Street Address |
5501 OLD YORK RD |
City | PHILA |
State | PA |
Zip Code | 19144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033483755 | Ruchika Patel | Internal Medicine | 5501 Old York Rd, Korman Bldg Suite 103, Phila, PA 19141-3018 | 2012-02-27 |
1174834121 | Bernadette M Sheeron | Nurse Practitioner | 5501 Old York Rd, Hackenburg 3rd Floor, Phila, PA 19141-3018 | 2010-06-24 |
1285884825 | Daranee Chewaproug | Internal Medicine | 5501 Old York Rd, Levy Bldg Ground Floor, Phila, PA 19141-3018 | 2008-09-19 |
1801057898 | Amanda Howell | Emergency Medicine | 5501 Old York Rd, Phila, PA 19141-3018 | 2008-06-23 |
1831350925 | Arpita Shrivastava | Emergency Medicine | 5501 Old York Rd, Phila, PA 19141-3018 | 2008-06-20 |
1881877637 | Allison Fike | Physician Assistant | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-12-14 |
1417147661 | Donna Pietrafesa | Physician Assistant | 5501 Old York Rd, Hackenberg Building, 3rd Floor, Phila, PA 19141-3018 | 2007-07-25 |
1699988477 | Ahashta Johnson | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-05-08 |
1104048040 | Hilary Lyons Oneill | Psychiatry & Neurology | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-05-02 |
1538386941 | Jilla Carpey | Psychologist | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
Find all providers in zip 19144 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1396782892 | Yoon J Ahn | Internal Medicine | 2228 S Broad St, Phila, PA 19145-3923 | 2006-06-01 |
1285884825 | Daranee Chewaproug | Internal Medicine | 5501 Old York Rd, Levy Bldg Ground Floor, Phila, PA 19141-3018 | 2008-09-19 |
1396786885 | Eric D Newman | Internal Medicine | 2228 S Broad St, Phila, PA 19145-3923 | 2006-06-08 |
1649211129 | Edward J Filippone | Internal Medicine | 2228 S Broad St, Phila, PA 19145-3923 | 2006-06-08 |
1356397830 | Susan Bray | Internal Medicine | 219 N Broad St, 5th Floor, Phila, PA 19107-1519 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
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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.