DR. MANIVANH KEOBOUNNAM (NPI# 1295897783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295897783 |
| Entity Type | Individual |
| Full Name | DR. MANIVANH KEOBOUNNAM |
| Credential | MD |
| Practice Address |
4755 Ogletown-stanton Road Newark DE 19718 |
| Mailing Address |
2 Reads Way Suite 201 New Castle DE 19720-1630 |
| Practice Telephone | 3027331000 |
| Mailing Telephone | 3027094510 |
| Mailing Fax Number | 3023569304 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | C1-0009086 | DE | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | MT185941 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4755 OGLETOWN-STANTON ROAD |
| City | NEWARK |
| State | DE |
| Zip Code | 19718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780409 | Robert Dressler | Internal Medicine | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2005-09-20 |
| 1063888741 | Juliana M. Rahmer | Nurse Practitioner | 4755 Ogletown-stanton Road, 6th Floor, Newark, DE 19718-2200 | 2015-08-17 |
| 1053792911 | Natalie Ann L'heureux-lea | Nurse Anesthetist, Certified Registered | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2015-06-16 |
| 1538567516 | Sarah Kenia | Nurse Anesthetist, Certified Registered | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2014-12-08 |
| 1265844112 | James A. Shepard | Internal Medicine | 4755 Ogletown-stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2014-05-27 |
| 1437492485 | Gwen E Metz | Nurse Anesthetist, Certified Registered | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2013-03-28 |
| 1467739094 | Adam Robert Jensen | Nurse Anesthetist, Certified Registered | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2011-11-10 |
| 1780975417 | Mina Soon Kim | Anesthesiology | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2011-04-28 |
| 1386935138 | James Lincoln Iv | Anesthesiology | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2011-04-28 |
| 1194958751 | Sarah W. Meng | Internal Medicine | 4755 Ogletown-stanton Road, Department of Radiology, Room 1752, Newark, DE 19718-2200 | 2009-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164954566 | Michael Chukwuemeka Ndukwe | Anesthesiology | 185 S Orange Ave # Msbf-603, Newark, NJ 07103-2757 | 2017-04-03 |
| 1003158718 | Anna Korban | Anesthesiology | 185 S Orange Ave # Msbf-611, Newark, NJ 07103-2757 | 2013-03-20 |
| 1750645982 | Akwasi Peprah Amponsah Jr. | Anesthesiology | 150 Bergen St # Streete, Newark, NJ 07103 | 2012-07-03 |
| 1285994582 | Shachi C Patel | Anesthesiology | 1 Centurian Dr Ste 110, Newark, DE 19713-2154 | 2012-05-21 |
| 1407122609 | Uchenna Anthony Madubuko | Anesthesiology | 550 S 19th St, Newark, NJ 07103 | 2012-04-02 |
| 1154692077 | Michael Suleiman Marji | Anesthesiology | St. Michael's Medical Center, 111 Central Avenue, Newark, NJ 07102 | 2012-01-24 |
| 1326351271 | Michal Gajewski | Anesthesiology | 185 S. Orange Ave., Msb E-538, Newark, NJ 07103 | 2010-07-21 |
| 1336374149 | Daisy Munoz | Anesthesiology | 651 N 6th St, Newark, NJ 07107-2505 | 2009-05-22 |
| 1043453657 | Da Wang | Anesthesiology | 185 S Orange Ave Rm E-538, Newark, NJ 07103-2757 | 2009-04-13 |
| 1609020049 | Corazon G. Tablang Md PC | Anesthesiology | 10 Darwin Dr Ste C, Darwin Professional Center, Newark, DE 19711-6658 | 2008-11-12 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on DR. MANIVANH KEOBOUNNAM.
| 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.