SURAPANENI P RAMANADHA RAO


Address: 58 Main St, Bucksport, ME 04416-4112
Phone: 2074696880

SURAPANENI P RAMANADHA RAO (NPI# 1417958851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417958851
Entity Type Individual
Full Name SURAPANENI P RAMANADHA RAO
Credential MD
Practice Address 58 Main St
Bucksport
ME 04416-4112
Mailing Address 57 Water St
Blue Hill
ME 04614-5231
Practice Telephone 2074696880
Practice Fax Number 2074693766
Mailing Telephone 2073743473
Enumeration Date 2005-08-09
Last Update Date 2015-11-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology MD9356 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 112410000 05

Office Location

Street Address 58 MAIN ST
City BUCKSPORT
State ME
Zip Code 04416-4112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144208620 Virginia Ruth Lanning Nurse Practitioner 58 Main St, Bucksport, ME 04416 2006-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831667278 Anna Levesque Pharmacist 220 Us-1, Ste 1, Bucksport, ME 04416 2018-11-04
1528582475 Walgreen Co Durable Medical Equipment & Medical Supplies 220 Us Rte 1 Ste 1, Bucksport, ME 04416 2017-08-02
1679822076 Brenden Placido Rock Pharmacist 220 U.S. Route 1, Bucksport, ME 04416 2012-08-31
1841504834 Rashid K Sarpong Pharmacist Us Hwy Route 220, Rite Aid Pharmacy Fort Knox Shopping Plaza, Bucksport, ME 04416 2010-08-02
1740593409 Sylvester A Osa-iyare Pharmacist 220 Us Route 1 Ste 1, Rite Aid Pharmacy, Bucksport, ME 04416 2010-07-22
1124352737 Ellsworth Bucksport Dental Associates Dentist 11 Mechanic Street, Bucksport, ME 04416 2009-09-29
1568603538 Ester Marie Arnberg Acupuncturist 100 U.S. Highway #1, Suite #2, Verona Island, ME 04416 2009-03-20
1457560724 Orland School Department Local Education Agency (LEA) 62 Mechanic Street, Bucksport, ME 04416 2007-05-22
1376757021 Bucksport School Department Local Education Agency (LEA) 62 Mechanic St., Bucksport, ME 04416 2007-05-10
1174640551 Town of Bucksport Ambulance Emergency Medical Technician, Paramedic 89 Franklin Street, Bucksport, ME 04416 2007-03-23
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942614979 Marc Calabrese Urology 21 Donald B Dean Dr Ste 1, South Portland, ME 04106-3234 2014-06-18
1144507948 Andrew Percy Iverson,md II Urology 11 Staples Point Rd, Freeport, ME 04032-6003 2011-11-08
1063640555 Curtis P. Ross Urology 55 Broadway Ste 2, Bangor, ME 04401-5201 2009-06-23
1790928570 Evan J Dunn Urology 287 Main St Ste 404, Lewiston, ME 04240-7056 2009-04-09
1659534782 Jonas Gricius Urology 55 Broadway Fl 2, Bangor, ME 04401-5201 2008-07-09
1639260847 Derrick S Tooth Urology 1053 Western Ave, Manchester, ME 04351-3403 2006-09-27
1093806200 Joseph Flannery Lopes Urology 9 Pleasant Street, Suite 2, Oakland, ME 04963 2006-09-27
1720013204 John Russell Urology 22 Hartford St # Sr, Houlton, ME 04730-1844 2006-07-12
1649226655 Moritz H Hansen Urology 100 Brickhill Avenue, South Portland, ME 04106 2006-05-25
1285692392 James W Ross Urology 85 Baribeau Drive, Brunswick, ME 04011 2006-05-01
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Competitor

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City BUCKSPORT
Zip Code 04416

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Dataset Information

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.

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