SRINI VASAN (NPI# 1376541649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376541649 |
| Entity Type | Individual |
| Full Name | SRINI VASAN |
| Credential | MD |
| Practice Address |
400 Matthew St Strecker Cancer Center Marietta OH 45750-1644 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7403765000 |
| Practice Fax Number | 7403765002 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35.052348 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
13934 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000696934 | 01 |
| WV | 0123692000 | 05 | |
| OH | ANTHEM | 000000545268 | 01 |
| OH | 0576149 | 05 | |
| OH | RRMCR | P00468347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962736108 | Srini Varadarajan Vasan | Social Worker | 2600 Marble Ave Ne # 1, Albuquerque, NM 87106-2058 | 2009-09-21 |
| Street Address |
400 MATTHEW ST STRECKER CANCER CENTER |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639641 | Joseph R Mayo | Internal Medicine | 400 Matthew St, Ste 302, Marietta, OH 45750-1644 | 2005-06-14 |
| 1164970919 | Jessica Starling | Nurse Practitioner | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2016-09-21 |
| 1073984829 | Kristeva Jo Knab | Physician Assistant | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2015-10-19 |
| 1033588405 | Alyse Shapaka | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-09-16 |
| 1982072054 | Chandler Leann Myers | Nurse Practitioner | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2015-09-08 |
| 1487021200 | Brian P. Peppel | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-08-27 |
| 1548676778 | Jenny M Daubert | Physician Assistant | 400 Matthew St, Suite 303, Marietta, OH 45750-1644 | 2014-07-09 |
| 1568895993 | Amy L Albrecht | Physician Assistant | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2013-08-21 |
| 1609145242 | Lakyn Allison Merrifield | Physician Assistant | 400 Matthew St, Suite 302, Marietta, OH 45750-1644 | 2011-12-28 |
| 1578848941 | Cathy J. Lee | Nurse Practitioner | 400 Matthew St, Suite 305, Marietta, OH 45750-1644 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578613667 | Lorie L Hughes | Radiology | 320 Kennestone Hospital Blvd Ste Ll1, Marietta, GA 30060-1166 | 2007-01-11 |
| 1902292956 | Rohit Gunan Ganju | Radiology | 320 Kennestone Hospital Blvd Ste Ll1, Marietta, GA 30060-1166 | 2015-04-07 |
| 1184990145 | Wellstar Medical Group, LLC | Radiology | 320 Kennestone Hospital Blvd, Suite Ll1, Marietta, GA 30060-1161 | 2012-03-23 |
| 1245521905 | Olusola Obayomi-davies | Radiology | 320 Kennestone Hospital Blvd Ste Ll1, Marietta, GA 30060 | 2011-04-28 |
| 1316263353 | Justin P Hart | Radiology | 320 Kennestone Hospital Blvd, Ll 1, Marietta, GA 30060-1161 | 2010-04-15 |
| 1093865198 | Mark P Mclaughlin | Radiology | 320 Kennestone Hospital Blvd Ste Ll1, Marietta, GA 30060-1166 | 2007-01-11 |
| 1518905470 | Mark S Quinn | Radiology | 320 Kennestone Hospital Blvd, Suite Ll1, Marietta, GA 30060-1161 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
| 1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
| 1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
| 1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
| 1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
| 1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
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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.