KARTHIKEYAN VISWANATHAN (NPI# 1396128336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396128336 |
| Entity Type | Individual |
| Full Name | KARTHIKEYAN VISWANATHAN |
| Credential | D.O. |
| Practice Address |
1500 Museum Rd Ste 104 Conway AR 72032-4761 |
| Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
| Practice Telephone | 5019329010 |
| Practice Fax Number | 8705693579 |
| Mailing Telephone | 8703472534 |
| Mailing Fax Number | 8703473492 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E-12291 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Atwell Rd, Cooperstown, NY 133261301 | 6075473456 | 6075476612 |
| Street Address |
1500 MUSEUM RD STE 104 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427168558 | Richelle Leigh Weese | Speech-Language Pathologist | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2006-08-30 |
| 1932681574 | Dana Jones | Physical Medicine & Rehabilitation | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2018-08-30 |
| 1841700879 | Jessica Bradley | Dietitian, Registered | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2017-10-04 |
| 1831487404 | Arcare | Clinic/Center | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2011-07-18 |
| 1740439181 | Brittany K Buckels | Speech-Language Pathologist | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2008-09-10 |
| 1215144118 | Lacy Perna Bray | Speech-Language Pathologist | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2007-05-17 |
| 1164545661 | Amber Lynn Lingle | Speech-Language Pathologist | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2007-04-09 |
| 1770604761 | Carolyn Sue Bridges | Physical Therapy Assistant | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2007-04-03 |
| 1730226564 | Shirley Denise Moorehead | Speech-Language Pathologist | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2007-01-31 |
| 1740380351 | Candice Rae Robinson | Speech-Language Pathologist | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2006-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952648594 | Conway Hospital, Inc. | Internal Medicine | 2376 Cypress Cir, Ste 102, Conway, SC 29526-8964 | 2013-01-15 |
| 1326341652 | John William Watson | Internal Medicine | 52 Lakeview Dr, Conway, AR 72032-8811 | 2010-12-08 |
| 1841425253 | Ahmed Ali | Internal Medicine | 655 Dave Ward Dr, Ste 103, Conway, AR 72034 | 2009-05-29 |
| 1639359888 | Gerson Airel Teran | Internal Medicine | 4925 Cindy Lee Cv, Conway, AR 72034-7496 | 2007-11-05 |
| 1932235785 | Eric Anthony Woodard | Internal Medicine | 525 Hendrix Cv, Conway, AR 72034-7742 | 2007-02-26 |
| 1316089485 | Occ Doc of South Carolina | Internal Medicine | 154 Waccamaw Medical Park Ct # A, Conway, SC 29526-8965 | 2007-02-13 |
| 1952482952 | Conway Internists, P.a. | Internal Medicine | 8002 Myrtle Trace Dr., Conway, SC 29526 | 2006-10-17 |
| 1942393467 | Pamela Pyle | Internal Medicine | 1396 Highway 544, Conway, SC 29526-8443 | 2006-10-02 |
| 1447358213 | Regina Ann Roman | Internal Medicine | 154a Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2006-09-20 |
| 1538180211 | Rajan Gupta | Internal Medicine | 241 Singleton Ridge Rd, Ste A, Conway, SC 29526 | 2006-07-21 |
| Find all providers in CONWAY | ||||
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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.