DR. SHYAMA DILANI WICKRAMAARATCHI


Address: 1850 E Park Ave Ste 201, State College, PA 16803
Phone: 8142348800

DR. SHYAMA DILANI WICKRAMAARATCHI (NPI# 1316387939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316387939
Entity Type Individual
Full Name DR. SHYAMA DILANI WICKRAMAARATCHI
Credential D.O.
Practice Address 1850 E Park Ave Ste 201
State College
PA 16803
Mailing Address 1850 E Park Ave Ste 201
State College
PA 16803-6706
Practice Telephone 8142348800
Practice Fax Number 8142351133
Mailing Telephone 8142348800
Mailing Fax Number 8142351133
Enumeration Date 2013-06-27
Last Update Date 2018-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
OS019340 PA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
OS019340 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1850 E PARK AVE STE 201
City STATE COLLEGE
State PA
Zip Code 16803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548249642 Gregory A Ruff Internal Medicine 1850 E Park Ave Ste 201, State College, PA 16803-6706 2006-01-17
1366948192 Janet R Cady Nurse Practitioner 1850 E Park Ave Ste 201, State College, PA 16803 2018-04-02
1992157945 Helen M Martin Nurse Practitioner 1850 E Park Ave Ste 201, State College, PA 16803-6706 2016-07-01
1932567013 Muqueet Kadri Internal Medicine 1850 E Park Ave Ste 201, State College, PA 16803 2016-02-04
1821437328 Vyacheslav Vilensky Internal Medicine 1850 E Park Ave Ste 201, State College, PA 16803-6706 2013-06-18
1275670028 Faoud Ishmael Allergy & Immunology 1850 E Park Ave Ste 201, State College, PA 16803 2007-01-31
1245335660 Jennifer M Illig Physician Assistant 1850 E Park Ave Ste 201, State College, PA 16803-6706 2006-09-13
1215965520 Steven M Smith Physician Assistant 1850 E Park Ave Ste 201, State College, PA 16803-6706 2006-06-28
1891744470 Thomas Wayne Waddington Internal Medicine 1850 E Park Ave Ste 201, State College, PA 16803 2006-05-09
1548236896 Jeffrey A Ratner Internal Medicine 1850 E Park Ave Ste 201, State College, PA 16803-6706 2006-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851581 Tammy Lynn Terosky Massage Therapist 2134 Sandy Drive, Suite 6, State College, PA 16803 2020-08-12
1548748973 Molly Gomez Occupational Therapist 260 Lions Hill Road, State College, PA 16803 2018-07-28
1568981827 David Scott Kautz Pharmacist 1665 North Atherton Place, State College, PA 16803 2017-09-18
1245751023 Zenovia Tarmohamed Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 2017-06-30
1407205362 Alka Sood Student in an Organized Health Care Education/Training Program 1850 E. Park Avenue, State College, PA 16803 2016-06-10
1588018766 Daniel Frankel Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, State College, PA 16803 2016-04-14
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1164806840 Amit Thatte Student in an Organized Health Care Education/Training Program 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 2015-07-13
1245588946 Phoenix Rehabilitation and Health Services, Inc. Chiropractor 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 2012-08-28
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326609686 Grand View Hospital Internal Medicine 700 Lawn Ave Fl 2, Sellersville, PA 18960-1548 2019-06-26
1841798121 Coordinated Health of Penn, LLC Internal Medicine 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 2018-01-31
1124409826 Sanjog Kalra Internal Medicine 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 2015-06-18
1588905095 Harvard Cardiovascular Inc Internal Medicine 362 Sprague Rd, Penn Valley, PA 19072-1124 2013-03-07
1669784880 Paul Lewis Hermany II Internal Medicine 2649 Schoenersville Rd Ste 301, Bethlehem, PA 18017 2010-07-02
1063651123 Deepika Rao Kalisetti Internal Medicine 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 2009-02-13
1679591374 Subrahmanyam Chivukula Internal Medicine 245 Mill Street, Bristol, PA 19007 2006-07-18
1710913736 Stafford Michael Smith Internal Medicine 102 N Abington Rd, Suite #103, Clarks Green, PA 18411-2300 2006-06-23
1891732541 Gregory D Cox Internal Medicine 2135 Noll Dr Ste D, Lancaster, PA 17603-7602 2006-06-01
1811934565 Scott T. Riebel Internal Medicine 1600 6th Ave Ste 108, York, PA 17403-2626 2006-06-01
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Competitor

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City STATE COLLEGE
Zip Code 16803

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Dataset Information

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.

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