LALITA SEETHARAM (NPI# 1396706495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396706495 |
| Entity Type | Individual |
| Full Name | LALITA SEETHARAM |
| Credential | MD |
| Practice Address |
4117 Medical Center Dr Fayetteville NY 13066-6600 |
| Mailing Address |
4117 Medical Center Dr Pod A Fayetteville NY 13066-6600 |
| Practice Telephone | 3153294968 |
| Practice Fax Number | 3153294964 |
| Mailing Telephone | 3153294968 |
| Mailing Fax Number | 3153294964 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2011-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
115936 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00466564 | 05 |
| Street Address |
4117 MEDICAL CENTER DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952361354 | Mark A Mcconn | Family Medicine | 4117 Medical Center Dr, Pod C, Fayetteville, NY 13066-6600 | 2006-03-28 |
| 1235474438 | Mark A Mcconn Md Pllc | Family Medicine | 4117 Medical Center Dr, Fayetteville, NY 13066-6600 | 2012-11-29 |
| 1851538045 | Navpriya Oberoi | Obstetrics & Gynecology | 4117 Medical Center Dr, Pod A, Fayetteville, NY 13066-6600 | 2009-01-10 |
| 1417964990 | Maryann Elizabeth Millar | Obstetrics & Gynecology | 4117 Medical Center Dr, Pod A, Fayetteville, NY 13066-6600 | 2006-08-01 |
| 1457314650 | Susan M Randall-mantella | Nurse Practitioner | 4117 Medical Center Dr, Pod C, Fayetteville, NY 13066-6600 | 2006-04-10 |
| 1629030978 | Dawn M Scott | Physician Assistant | 4117 Medical Center Dr, Pod C, Fayetteville, NY 13066-6600 | 2006-04-03 |
| 1609837251 | Renate N Chevli | Obstetrics & Gynecology | 4117 Medical Center Dr, Fayetteville, NY 13066-6600 | 2006-03-31 |
| 1346201068 | Susan L Merola-mcconn | Family Medicine | 4117 Medical Center Dr, Pod C, Fayetteville, NY 13066-6600 | 2006-03-31 |
| 1336100981 | Muhammad M Naim | Obstetrics & Gynecology | 4117 Medical Center Dr, Pod A, Fayetteville, NY 13066-6600 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1376689067 | Barbara Attura O'brien | Obstetrics & Gynecology | 123 Kathi Ave, Fayetteville, GA 30214-1691 | 2007-01-29 |
| 1194751164 | Elizabeth Ann Woods | Obstetrics & Gynecology | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2006-06-23 |
| 1508865965 | Fayetteville Women's Clinic | Obstetrics & Gynecology | 1011 N College Ave, Fayetteville, AR 72701-2012 | 2005-07-19 |
| 1396748562 | Gerianne C Geszler | Obstetrics & Gynecology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2005-05-23 |
| 1205449691 | Washington Regional Medical System | Obstetrics & Gynecology | 3561 Johnson Mill Blvd, Suite 102, Fayetteville, AR 72704 | 2020-08-26 |
| 1417167446 | Women's Community Care, PC | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2007-05-22 |
| 1417964990 | Maryann Elizabeth Millar | Obstetrics & Gynecology | 4117 Medical Center Dr, Pod A, Fayetteville, NY 13066-6600 | 2006-08-01 |
| 1962431460 | Kathleen W Paulson | Obstetrics & Gynecology | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-30 |
| 1881639110 | Georgia Urogynecology, PC | Obstetrics & Gynecology | 1260 Highway 54 W, Fayetteville, GA 30214-4514 | 2006-06-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on LALITA SEETHARAM.
| 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.