DR. RAZ DILIP PENMATCHA (NPI# 1346207339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346207339 |
Entity Type | Individual |
Full Name | DR. RAZ DILIP PENMATCHA |
Credential | M.D. |
Practice Address |
1310 24th Ave S Nashville TN 37212 |
Mailing Address |
1310 24th Ave S Nashville TN 37212-2637 |
Practice Telephone | 6158756000 |
Mailing Fax Number | 5633285694 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2018-12-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 202259 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | ILLINOIS LICENSE | 036-104091 | 01 |
IA | IA GROUP MEDICARE | 26568 | 01 |
IL | IL GROUP MEDICARE | 790730 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4731 45th Street Ct, Rock Island, IL 612017102 | 5633232020 | 5633285694 |
Street Address |
1310 24TH AVE S |
City | NASHVILLE |
State | TN |
Zip Code | 37212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851384473 | Timothy James Hornyak | Physician Assistant | 1310 24th Ave S, Nashville, TN 37212-2637 | 2005-08-30 |
1326652827 | Laura Mekjian | Nurse Practitioner | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-09-02 |
1215547302 | Azur Eckley | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-08-04 |
1851919153 | Bianca Burnette Creith | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-07-13 |
1124646526 | Gabrielle Givens | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-07-12 |
1730706342 | Lauren Danae Bell | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
1184241796 | Amanda Searls | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
1689291296 | Kyle Owens | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
1033736640 | Jeewar Kokoy | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
1013530468 | Jennifer Leigh Egan | Social Worker | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-05-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
Find all providers in zip 37212 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780034439 | Alina Lou | Ophthalmology | 2311 Pierce Avenue, Vanderbilt University Ophthalmology Residency Program, Nashville, TN 37232 | 2016-06-14 |
1134462450 | Andrew Gordon Meador | Ophthalmology | 1800 Church St Ste 100, Nashville, TN 37203-2233 | 2013-04-04 |
1528324662 | Akshay Sebastian Thomas | Ophthalmology | 345 23rd Ave N Ste 350, Nashville, TN 37203-1596 | 2012-04-03 |
1205128352 | Trey Amerson Pegram | Ophthalmology | 3443 Dickerson Pike Ste 240, Nashville, TN 37207-2522 | 2011-05-09 |
1477875151 | Robin Lee Rice | Ophthalmology | 133 Jefferson Sq, Nashville, TN 37215-3701 | 2010-02-22 |
1639336571 | Michael J. Dieckhaus | Ophthalmology | 4306 Harding Pk, Suite 300, Nashville, TN 37205 | 2008-05-19 |
1689856700 | Sahar Kohanim | Ophthalmology | 2010 Church St Ste 608, Nashville, TN 37203-2086 | 2007-11-30 |
1497975874 | Susannah Quisling Longmuir | Ophthalmology | 593 Stewarts Ferry Pike, Nashville, TN 37214-3414 | 2007-04-26 |
1154445591 | Wang Vision Institute, Pllc | Ophthalmology | 1801 W End Ave Ste 1150, Nashville, TN 37203-2528 | 2007-03-19 |
1104961085 | Ming X Wang | Ophthalmology | 1801 West End Avenue #1150, Nashville, TN 37203 | 2007-02-20 |
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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.