NATARAJAN MANICKAM (NPI# 1457422982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457422982 |
| Entity Type | Individual |
| Full Name | NATARAJAN MANICKAM |
| Credential | MD |
| Practice Address |
270 Smith Church Road Roanoke Rapids NC 27870-4914 |
| Practice Telephone | 2525370134 |
| Practice Fax Number | 2525376515 |
| Mailing Telephone | 2525370134 |
| Mailing Fax Number | 2525376515 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32778 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDCOST | 40991 | 01 | |
| NC | BCBSNC | 53872 | 01 |
| VIRGINIA MEDICAID | 5843073 | 01 | |
| NC | 8953972 | 05 | |
| VA | VABCBS | 028182 | 01 |
| DIVISION OF COAL MINERS | 20384900 | 01 | |
| RAIL ROAD MEDICARE | 110179483 | 01 | |
| CAPITOL BC PENN | 18619 | 01 | |
| UNITED HEALTHCARE | 48 55339 | 01 |
| Street Address |
270 SMITH CHURCH ROAD |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356412878 | Narayanachar C Sekaran | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1316018831 | Mahendra S Patel | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1730250267 | Jonathan Juturu Jack | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870 | 2006-11-13 |
| 1114098647 | Somasekhara R Balla | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1023189545 | Meena Sekaran | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870 | 2006-11-13 |
| 1841361367 | Gerardo Marcial Maradiaga | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870 | 2006-11-13 |
| 1740351279 | Halifax Medical Specialists Pa | Clinic/Center | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1114110889 | Roanoke Valley Health Services Inc | Internal Medicine | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2007-08-24 |
| 1114098647 | Somasekhara R Balla | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
| 1619467529 | Clerio Francisco De Azevedo Filho | Internal Medicine | 10 Medicine Circle - Duke Medical Pavilion Room 1e50, Durham, NC 27710-0001 | 2018-05-16 |
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
| 1225563463 | Benjamin Mcginty Chilcutt | Internal Medicine | 300 Meadowmont Village Cir Ste 104, Chapel Hill, NC 27517-7518 | 2017-04-25 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1982069928 | Four Jewels Healthways | Internal Medicine | 320 Lillington Ave Ste 201, Charlotte, NC 28204-3189 | 2015-12-17 |
| 1932505294 | Donald Frederick Fortin | Internal Medicine | 14001 Weston Pkwy, Suite 101, Cary, NC 27513-2255 | 2014-11-14 |
| 1538564232 | Forsyth Memorial Hospital, Inc | Internal Medicine | 694 Riverside Drive, Mt. Airy, NC 27030-3117 | 2014-10-24 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| Find all providers with the same taxonomy | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
Please comment or provide details below to improve the information on NATARAJAN MANICKAM.
| 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.