SURESH NUKALA (NPI# 1578643037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578643037 |
| Entity Type | Individual |
| Full Name | SURESH NUKALA |
| Credential | MD |
| Practice Address |
1414 W Fair Ave Ste 332 Marquette MI 49855-5407 |
| Mailing Address |
4602 Dept Carol Stream IL 60122-0021 |
| Practice Telephone | 9062253922 |
| Practice Fax Number | 9062254527 |
| Mailing Telephone | 9062253922 |
| Mailing Fax Number | 9062254527 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301089054 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4940237 | 05 | |
| MI | RAILROAD MEDICARE | P00365530 | 01 |
| MI | BCBSM | SN089054 | 01 |
| Street Address |
1414 W FAIR AVE STE 332 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932131547 | Marquette General Hospital | Nurse Practitioner | 1414 W Fair Ave Ste 332, Marquette, MI 49855-5407 | 2006-07-06 |
| 1932128097 | Sheetal Acharya | Specialist | 1414 W Fair Ave Ste 332, Marquette, MI 49855-5407 | 2006-07-19 |
| 1366474066 | Marquette General Hospital | Specialist | 1414 W Fair Ave Ste 332, Marquette, MI 49855-5407 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184716060 | Ross Frederick Siemers | Internal Medicine | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
| 1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
| 1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
| 1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
| 1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
| 1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
| 1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
| 1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
| 1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
| 1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
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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.