NIRANJAN SHRESTHA (NPI# 1508031758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508031758 |
| Entity Type | Individual |
| Full Name | NIRANJAN SHRESTHA |
| Credential | M.D., FAAFP |
| Practice Address |
1050 M L King Dr Ste 111 Centralia IL 62801-3060 |
| Practice Telephone | 6184365237 |
| Practice Fax Number | 6184365236 |
| Mailing Telephone | 6184365237 |
| Mailing Fax Number | 6184365236 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.122701 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 57009736 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1050 M L KING DR STE 111 |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487159943 | Staci Lynn Burleyson | Family Medicine | 154 Greenview Rd, Centralia, IL 62801-6106 | 2018-03-27 |
| 1427399534 | David Ray Collins | Family Medicine | 642 Community Beach Rd, Centralia, IL 62801-8210 | 2013-03-14 |
| 1194908368 | Dr. Thomas Cooke | Family Medicine | 1217 Mellen St, Centralia, WA 98531-1175 | 2007-12-11 |
| 1568530806 | Venerio Melendres Santos | Family Medicine | 9330 Shattuc Rd, Centralia, IL 62801 | 2006-12-04 |
| 1093729329 | Washington Park Medical Center, Inc Ps | Family Medicine | 208 Centralia College Blvd, Centralia, WA 98531-4007 | 2006-07-29 |
| 1366419210 | Balavittal Varanasi | Family Medicine | 936 M L King Dr, Centralia, IL 62801-3058 | 2006-02-28 |
| 1225008345 | Amy L Jones | Family Medicine | 606 1st St, Centralia, KS 66415-9637 | 2006-01-23 |
| 1073519484 | Curtis David King | Family Medicine | 1021 E Highway 22, Centralia, MO 65240-1183 | 2005-06-22 |
| 1164837464 | Alison F Macmillan | Family Medicine | 1010 S Scheuber Rd Ste 3&4, Centralia, WA 98531-8892 | 2014-06-25 |
| 1013255090 | William Alexander Stevens | Family Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2013-01-24 |
| Find all providers in CENTRALIA | ||||
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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.