DR. SUDHIR MADISETTY (NPI# 1588672760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588672760 |
| Entity Type | Individual |
| Full Name | DR. SUDHIR MADISETTY |
| Credential | M.D. |
| Practice Address |
1607 Lake Success Dr Waco TX 76710-2908 |
| Practice Telephone | 2547720783 |
| Practice Fax Number | 2547721463 |
| Mailing Telephone | 2547720783 |
| Mailing Fax Number | 2547721463 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | J3846 | TX | Other Service Providers |
| Y | 208000000X | Pediatrics | J3846 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSSBLUESHIELD | 8A9340 | 01 |
| TX | 092053002 | 05 | |
| TX | FIRSTCARE | 118342100 | 01 |
| TX | SUPERIOR | 121348 | 01 |
| TX | 092053001 | 05 |
| Street Address |
1607 LAKE SUCCESS DR |
| City | WACO |
| State | TX |
| Zip Code | 76710-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306032248 | Central Texas Pediatrics | Specialist | 1607 Lake Success Dr, Waco, TX 76710-2908 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067303 | Mark A Lorenzen | Pediatrics | 301b Richland West Cir, Waco, TX 76712-7919 | 2006-05-06 |
| 1740246909 | Sue E. Stanko | Pediatrics | 1201 Hewitt Dr Ste 204, Waco, TX 76712-8834 | 2006-04-25 |
| 1750340568 | Matthew Brian Bierwirth | Pediatrics | 2201 Macarthur Dr Ste 103, Waco, TX 76708 | 2006-03-21 |
| 1720059272 | Charles Edward Gamble | Pediatrics | 2201 Macarthur, Ste 103, Waco, TX 76708 | 2006-01-31 |
| 1689645236 | Karen Cervenka Kemper | Pediatrics | 2201 Macarthur Dr, Suite 103, Waco, TX 76708-3161 | 2006-01-31 |
| 1346211893 | Jacquelin Dawn Dewbre | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2006-01-31 |
| 1649257429 | Floyd Lee Barry | Pediatrics | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1962485516 | William R Nesmith | Pediatrics | 601 W Hwy 6, Suite 102, Waco, TX 76710-5591 | 2005-11-28 |
| 1770566333 | Stephen Chakmakjian | Pediatrics | 601 W State Highway 6, Suite 102, Waco, TX 76710-5591 | 2005-11-28 |
| 1255867057 | Suzanne Jacob | Pediatrics | 2201 Macarthur Dr Ste 103, Waco, TX 76708-3159 | 2017-05-11 |
| Find all providers in WACO | ||||
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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.