DR. UMASHANKAR K BALLEHANINNA (NPI# 1578721767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578721767 |
Entity Type | Individual |
Full Name | DR. UMASHANKAR K BALLEHANINNA |
Credential | M.D |
Practice Address |
1 Guthrie Sq Sayre PA 18840-1625 |
Practice Telephone | 5708872848 |
Mailing Telephone | 5708885858 |
Enumeration Date | 2008-05-25 |
Last Update Date | 2016-11-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD458572 | PA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1 GUTHRIE SQ |
City | SAYRE |
State | PA |
Zip Code | 18840-1625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841294808 | Patricia Ann Fogelman | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840 | 2005-06-08 |
1639778194 | Heather Lynn Walker | Registered Nurse | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-10-25 |
1033724380 | Stacy Ann Miller | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-09-14 |
1033727466 | Abigail Rose Link | Physician Assistant | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-22 |
1811505035 | Rebecca Ann Satterly | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-14 |
1417574088 | Patricia Anne Hui | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-30 |
1477177277 | Sneha Prabhashankar Singh | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
1346864113 | Shista Priyadarshini | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
1225652175 | Balkishan Jagadishbhai Malviya | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
1003430034 | Premjeet Singh Dhillon | Internal Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104434497 | Priyanka Bhardwaj | Student in an Organized Health Care Education/Training Program | One Guthrie Square - Family Medicine Residency - Robert, Sayre, PA 18840 | 2020-07-22 |
1669099362 | Tanya Gupta | Student in an Organized Health Care Education/Training Program | 1 Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2020-06-29 |
1477170330 | Unknown Manas | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Internal Medicine Residency, Guthri, Sayre, PA 18840 | 2020-06-26 |
1891311601 | Oneeb Sanaullah | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Sayre, Guthrie/robert Packer Hospit, Sayre, PA 18840 | 2020-06-18 |
1801455142 | Rachel Anne Hart | Student in an Organized Health Care Education/Training Program | General Surgery Residency Guthrie/robert Packer Hospita, Sayre, PA 18840 | 2019-06-11 |
1073178315 | Anam Aqeel | Student in an Organized Health Care Education/Training Program | One Guthrie Square Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-05-02 |
1548823156 | Seokjae John Bahng | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-04-18 |
1811550890 | Najma Nawaz | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Guthrie/robert Packer Hospi, Sayre, PA 18840 | 2019-04-16 |
1043701592 | Aisha Khaliq | Internal Medicine | One Guthrie Square Internal Medicine Residency/robert P, Sayre, PA 18840 | 2018-05-21 |
1194220822 | Tianyu Shang | Student in an Organized Health Care Education/Training Program | Guthrie/ Robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 | 2018-03-26 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861795783 | Guthrie Clinic Ltd. | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2010-12-15 |
1053385583 | Lawrence Nathan Sampson | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
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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.