DR. SHIREESHA SANGINENI


Address: 405 Owen Dr, Fayetteville, NC 28304
Phone: 9103233183

DR. SHIREESHA SANGINENI (NPI# 1578791422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578791422
Entity Type Individual
Full Name DR. SHIREESHA SANGINENI
Credential MD
Practice Address 405 Owen Dr
Fayetteville
NC 28304
Mailing Address 405 Owen Dr Ste 4000
Fayetteville
NC 28304-3411
Practice Telephone 9103233183
Practice Fax Number 9107458478
Mailing Telephone 9103233183
Mailing Fax Number 9107458478
Enumeration Date 2009-06-30
Last Update Date 2018-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301095106 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 405 OWEN DR
City FAYETTEVILLE
State NC
Zip Code 28304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679576003 Katherine Jane Griesser Physical Therapist 405 Owen Dr, Fayetteville, NC 28304-3411 2005-05-31
1659988111 Kristina Erika Metz Physician Assistant 405 Owen Dr, Fayetteville, NC 28304-3411 2020-09-29
1003445636 Mackenzie Jean Eikamp Physician Assistant 405 Owen Dr, Fayetteville, NC 28304-3411 2020-04-06
1437613361 Georgina Ishak Physician Assistant 405 Owen Dr, Fayetteville, NC 28304-3411 2019-01-24
1447739149 Rdmg Associates, Pa Internal Medicine 405 Owen Dr, Fayetteville, NC 28304-3411 2018-08-13
1235623554 Jeffrey Thomas Riorden Nurse Practitioner 405 Owen Dr, Fayetteville, NC 28304 2018-06-20
1710287263 Stacie A Sidebotham Nurse Practitioner 405 Owen Dr, Fayetteville, NC 28304-3411 2010-11-01
1972803617 Cape Fear Family Medical Care Specialist 405 Owen Dr, Fayetteville, NC 28304-3411 2010-10-28
1467779322 James John Richard Physician Assistant 405 Owen Dr, Fayetteville, NC 28304 2010-04-30
1063689826 Nicole Gaskins Greyshock Internal Medicine 405 Owen Dr, Fayetteville, NC 28304-3411 2008-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376169185 Raheem Lalani Family Medicine 230 Fieldstone Way, Fayetteville, GA 30215-8170 2020-06-18
1821619370 Kelly R. Mccarty Family Medicine 5872 W Bannister Dr, Fayetteville, AR 72704-6536 2020-05-06
1720620230 Vector Health and Wellness, LLC Family Medicine 1267 N Steamboat Dr Ste 3, Fayetteville, AR 72704-7148 2019-10-16
1295382182 Nimota Motunrayo Akintoye Family Medicine 140 Briergate Pl, Fayetteville, GA 30214-3931 2019-08-24
1609332725 Fastmed Health Nc, Pllc Family Medicine 150 Francam Dr, Fayetteville, NC 28311-4500 2019-02-13
1013486638 K E Management Services Family Medicine 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703-4995 2018-11-14
1659896751 Melissa Holt Family Medicine 108 Medical Center Blvd Ste G-50, Fayetteville, TN 37334-2741 2017-08-09
1124477484 Mark William Guelzow Family Medicine 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066-6600 2016-06-08
1962865659 Tracie Fullove Family Medicine 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679 2016-03-31
1053778936 Linda Nancy Robinson Family Medicine 7107 Thorntree Hill Dr, Fayetteville, NY 13066-9790 2016-01-22
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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

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.

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