DR. SOMA SUNDARAM AVVA (NPI# 1386855435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386855435 |
Entity Type | Individual |
Full Name | DR. SOMA SUNDARAM AVVA |
Credential | M.D. |
Practice Address |
2200 Philadelphia Dr 651 Dayton OH 45406-1840 |
Mailing Address |
5770 Willow Walk Dayton OH 45415-2620 |
Practice Telephone | 9372780809 |
Practice Fax Number | 9372752696 |
Mailing Telephone | 9372755600 |
Mailing Fax Number | 9372752696 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
35.37830 | OH | Allopathic & Osteopathic Physicians |
Street Address |
2200 PHILADELPHIA DR 651 |
City | DAYTON |
State | OH |
Zip Code | 45406-1840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760487508 | Maria B Lim-kong | Specialist | 2200 Philadelphia Dr, Ste 101, Dayton, OH 45406-1830 | 2005-06-17 |
1194177477 | Lynn Warren | Nurse Practitioner | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406-1840 | 2016-07-11 |
1255797221 | Michelle Kristen Yeager | Registered Nurse | 2200 Philadelphia Dr, Dayton, OH 45406-1840 | 2016-01-06 |
1225474331 | Arthur Macneill Horton IIi | Family Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406 | 2013-05-15 |
1992056113 | Premier Health Specialists Inc | Internal Medicine | 2200 Philadelphia Dr, 3rd Fl, Dayton, OH 45406-1840 | 2012-09-27 |
1548524333 | Alma R Velayo | Internal Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406-1840 | 2012-06-27 |
1740547983 | Daniel Opris | Internal Medicine | 2200 Philadelphia Dr, Ste 441, Dayton, OH 45406-1840 | 2012-04-12 |
1821316787 | Milinda S Nimmo Zabramba | Family Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406 | 2010-05-17 |
1689991242 | Shannon Lingg | Dietitian, Registered | 2200 Philadelphia Dr, Suite 101, Dayton, OH 45406-1840 | 2010-04-22 |
1629392501 | Eshetu Obole | Internal Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406-1840 | 2010-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
Find all providers in zip 45406 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588628820 | Christopher Andrew Reeder | Surgery | 6728 Loop Rd, Bldg 5, Suite 301, Dayton, OH 45459-2196 | 2006-04-13 |
1497194351 | Michelle Ruth Sieffert | Surgery | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-06-24 |
1639422108 | Preferred Plastic Surgery & Skin Care Center LLC | Surgery | 5250 Far Hills Ave, Suite 110, Dayton, OH 45429-2382 | 2012-10-22 |
1306087515 | Wright State Physicians Inc | Surgery | 30 E Apple St, Suite 6257, Dayton, OH 45409-2939 | 2009-03-18 |
1093837569 | Miami Valley Plastic Surgeons, Inc. | Surgery | 1520 S Main St, Suite 200, Dayton, OH 45409-2698 | 2007-04-04 |
1821156092 | Kenneth Daniel Christman | Surgery | 2717 Miamisburg Centerville Rd, Suite 212, Dayton, OH 45459 | 2006-12-04 |
1679645881 | Kenneth A Welty Jr | Surgery | 1520 S Main St, Suite 200, Dayton, OH 45409-2698 | 2006-11-14 |
1467524686 | Frank V Troha | Surgery | 1520 S Main St, Suite 200, Dayton, OH 45409-2698 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770192304 | Roberta S Mckinley | Surgery | 5955 Carrbridge Ct, Galloway, OH 43119-1105 | 2020-07-29 |
1841707346 | Ptek Solutions | Surgery | 355 E Campus View Blvd Ste 290, Columbus, OH 43235-5680 | 2018-01-05 |
1336660034 | Andrew O'brien | Surgery | 915 Olentangy River Rd Fl 2, Columbus, OH 43212-3153 | 2017-07-03 |
1114248044 | Advanced Aesthetics and Rejuvination Inc | Surgery | 30701 Lorain Rd Ste A, North Olmsted, OH 44070-6325 | 2010-06-15 |
1700118114 | Vidas Dumasius | Surgery | 400 Matthew St Ste B-1, Marietta, OH 45750-1644 | 2010-02-10 |
1033382411 | Derek Cody | Surgery | 3925 Embassy Parkway, Suite 300, Akron, OH 44333 | 2008-04-08 |
1043381189 | Steven A Goldman Md Inc | Surgery | 3609 Park East Dr Ste 206, Beachwood, OH 44122-4309 | 2006-11-12 |
1922198357 | Michael P Binder | Surgery | 8587 East Ave, Mentor, OH 44060-4301 | 2006-10-14 |
1154416857 | Jason E Leedy | Surgery | 2060 Lander Rd, Mayfield Heights, OH 44124-4100 | 2006-10-04 |
1841225356 | Steven Scott Carp | Surgery | 4031 Massillon Road, Ste A, Uniontown, OH 44685 | 2006-07-12 |
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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.