SHANMUGASUNDARAM, VENKATACHALAM


Address: 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109
Phone: 5617986767

SHANMUGASUNDARAM, VENKATACHALAM (NPI# 1447870977) 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) 1447870977
Entity Type Organization
Organization Name SHANMUGASUNDARAM, VENKATACHALAM
Other Organization Name V S SUNDARAM MD
Practice Address 10131 W Forest Hill Blvd Ste 201
Wellington
FL 33414-6109
Practice Telephone 5617986767
Practice Fax Number 5617952706
Mailing Telephone 5617986767
Mailing Fax Number 5617952706
Enumeration Date 2020-04-24
Last Update Date 2020-04-24
Authorized Official Name DR. V S SUNDARAM (DOCTOR OF MEDICINE)
Authorized Official Telephone 5617986767
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL NEIGHBORHOOD PARTNERS 3370WELL 01
FL WELLCARE 00446 01
FL 040885901 05
FL UNITED HEALTH CARE 1002118 01
FL GHI 0067235 01
FL STAYWELL 00446 01
AETNA 0854223 01
FL BLUE CROSS BLUE SHIELD 61449 01

Other Provider/Organization Names

Other Name Type Code
V S Sundaram MD Doing Business As Name - Organization

Office Location

Street Address 10131 W FOREST HILL BLVD STE 201
City WELLINGTON
State FL
Zip Code 33414-6109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932707247 Juana Maria Gonzales Home Health 2766 Penhall Ct, Wellington, FL 33414 2020-10-09
1821601089 Wellington Rehab and Health Center, LLC Skilled Nursing Facility 10330 Nu Vista Ave, Wellington, FL 33414 2020-08-27
1730661158 Michelle Alexis Anagnostu Nurse Practitioner 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 2018-09-01
1932686193 Borola Inc Occupational Therapy Assistant 1985 Canterbury Circle, Wellington, FL 33414 2018-07-20
1841783156 Kid'z World Advance Inc Behavioral Analyst 2400 Wrotham Ter, Wellington, FL 33414 2018-06-11
1134619489 Devin Michael Scheller Counselor 2077 Vinings Circle Apt 1303, Wellington, FL 33414 2018-05-12
1942726617 Amanda Hardy Social Worker 11120 South Way, Suite 1, Wellington, FL 33414 2017-08-15
1467976423 Dawn Carnegia Blackshear Nurse Practitioner 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 2017-08-01
1508390238 Morgan Mccollum Speech-Language Pathologist 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 2017-04-19
1003369786 Memite G Charlemagne Registered Nurse 184 Berenger Walk, Royal Palm Beach, FL 33414 2016-07-28
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821083031 Venkatachalam Shanmugasundaram Otolaryngology 10131 W Forest Hill Blvd, Suite 201, Wellington, FL 33414-6156 2005-09-14
1164423083 Fredric W Pullen II Otolaryngology 13100 Doubletree Cir, Wellington, FL 33414-4037 2005-08-02
1396140562 Sherry A Mcquown Otolaryngology 11924 Forest Hill Blvd, Ste 10a-194, Wellington, FL 33414-6256 2014-10-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851910517 Daniel Oswaldo Manrique Otolaryngology 325 Saddle Ridge Dr, Davenport, FL 33896-8176 2020-04-13
1932735768 Martin Alvin Shugar Otolaryngology 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 2020-03-12
1396219242 North Broward Hospital Distric T Otolaryngology 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 2019-01-14
1356811194 Donald Lee Roberts Otolaryngology 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 2018-12-04
1275022238 Mary Teresa Garrish Otolaryngology 405 Sims Way, Merritt Island, FL 32952-5233 2018-05-05
1437658671 Baptist Ent Specialists Inc Otolaryngology 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 2018-02-02
1467970368 Portela E.n.t., Pa Otolaryngology 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 2017-08-31
1427414358 Rufus Madison Holloway Jr. Otolaryngology 1616 Lake Shore Drive, Orlando, FL 32803 2016-01-07
1609253178 Sumeet Bhanot Md Pa Otolaryngology 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 2015-05-04
1154723666 Howard Merson Otolaryngology 8571 Boca Glades Blvd W Apt A, Boca Raton, FL 33434-4045 2014-09-16
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Competitor

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City WELLINGTON
Zip Code 33414

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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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