SRUJANI REDDY GADUSU (NPI# 1417518457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417518457 |
| Entity Type | Individual |
| Full Name | SRUJANI REDDY GADUSU |
| Credential | DDS |
| Practice Address |
510 Town Centre Dr Johnstown PA 15904-2841 |
| Mailing Address |
308 Aspen Woods Ln Apt 149 Johnstown PA 15904-4832 |
| Practice Telephone | 8142665141 |
| Mailing Telephone | 7137143805 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS042245 | PA | Dental Providers |
| Street Address |
510 TOWN CENTRE DR |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507262 | Alexander Thomas Berarducci | Dentist | 510 Town Centre Dr, Johnstown, PA 15904-2841 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225259740 | Gary A Minchau | Dentist | 1736 Lyter Drive, Westmont Shopping Center, Johnstown, PA 15905-1206 | 2007-05-01 |
| 1053538066 | James Edward Ference | Dentist | 213 Luther Rd, Johnstown, PA 15904-2714 | 2007-04-19 |
| 1184753832 | Jeffrey Paul Hooper | Dentist | 100 Hostetler Rd, Johnstown, PA 15904-3111 | 2007-03-05 |
| 1467580746 | Mohan K Boolchandani | Dentist | 7 S William St, Johnstown, NY 12095-2312 | 2007-03-01 |
| 1174658645 | J. Jerome Petro Dmd Inc | Dentist | 909 Menoher Blvd, Johnstown, PA 15905-2834 | 2007-02-23 |
| 1801936422 | Raymond Paul Kucera | Dentist | 532 Goucher St, 532 Goucher St, Johnstown, PA 15905-3348 | 2007-02-07 |
| 1184776254 | Timothy Louis Ondrejik | Dentist | 205 Luther Rd, Johnstown, PA 15904-2714 | 2007-01-17 |
| 1235204488 | Dr Kathy Percosky's Gentle Dentistry | Dentist | 203 Strayer St, Johnstown, PA 15906-2012 | 2006-11-22 |
| 1598839664 | Anne Catherine Klena-charney | Dentist | 241 Schoolhouse Rd, Johnstown, PA 15904-3219 | 2006-11-20 |
| 1982773297 | Thomas J Bach | Dentist | 504 Franklin St, Johnstown, PA 15901 | 2006-11-08 |
| Find all providers in JOHNSTOWN | ||||
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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.