MR. SRINIVAS BONTHU (NPI# 1558335646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558335646 |
| Entity Type | Individual |
| Full Name | MR. SRINIVAS BONTHU |
| Credential | MD |
| Practice Address |
169 Riverside Dr Binghamton NY 13905-4246 |
| Mailing Address |
Po Box 130 Latham NY 12110-0130 |
| Practice Telephone | 5187861291 |
| Practice Fax Number | 5187861293 |
| Mailing Telephone | 5187861291 |
| Mailing Fax Number | 5187861293 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
197170 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02677521 | 05 |
| Street Address |
169 RIVERSIDE DR |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253446 | Advanced Radiology Services, Pllc | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-25 |
| 1639777451 | Ceirra Robin Tennant | Nurse Practitioner | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-10-14 |
| 1427674555 | Emily Elizabeth Krol | Physician Assistant | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-24 |
| 1184240889 | Debra Iwanow | Specialist/Technologist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-18 |
| 1124642921 | Daniel Fitzpatrick | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-08 |
| 1255955100 | Robin Underwood | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-06-05 |
| 1447872817 | Kelly Ann Yale-suda | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-05-08 |
| 1548880917 | Mahdi Shafiq | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-25 |
| 1669092672 | Thien-duy Brandon Tran | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-20 |
| 1164042313 | Benjamin Levi Kaplan | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253446 | Advanced Radiology Services, Pllc | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-25 |
| 1265723969 | Brian Tischler | Radiology | 225 Front St, Binghamton, NY 13905-2474 | 2011-04-28 |
| 1033366877 | Amira Hussien | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2008-08-23 |
| 1366651614 | Thomas Wigginton | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2007-05-22 |
| 1609860162 | Robert Caserta | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-09-09 |
| 1932193752 | Jerome M Brustein | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-09-08 |
| 1891789541 | Philip D Gottlieb | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-09-08 |
| 1740273523 | Philip Goodman | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-26 |
| 1396738175 | Vijayalakshmi Sivaprakasapillai | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-26 |
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| 1215550462 | Hudson Valley Radiologists, PC | Radiology | 50 Leonard St Unit 106, Beacon, NY 12508-3455 | 2020-05-22 |
| 1285257519 | Hudson Valley Radiologists, PC | Radiology | 14 Hilee Rd, Rhinebeck, NY 12572-2347 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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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.