SUBHASH VINAYAK GAJENDRAGADKAR (NPI# 1629169594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629169594 |
| Entity Type | Individual |
| Full Name | SUBHASH VINAYAK GAJENDRAGADKAR |
| Credential | MD |
| Practice Address |
6001 Robert C Byrd Dr Bradley WV 25818 |
| Mailing Address |
Po Box 369 Bradley WV 25818 |
| Practice Telephone | 3048772861 |
| Practice Fax Number | 3048775100 |
| Mailing Telephone | 3048772861 |
| Mailing Fax Number | 3048775100 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 12558 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UMWA | 1261848 | 01 | |
| WV | 0083424000 | 05 | |
| BLACK LUNG | 112425 | 01 |
| Street Address |
6001 ROBERT C BYRD DR |
| City | BRADLEY |
| State | WV |
| Zip Code | 25818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457532632 | Manuel B. Villanueva M.d., P.C. | Family Medicine | 6070 Robert C Byrd Dr, Bradley, WV 25818 | 2007-11-16 |
| 1861587990 | Manuel Bunoan Villanueva | Family Medicine | 6070 Robert C Byrd Drive, Bradley, WV 25818 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1699312587 | Kristi Ann Pittman-spero | Licensed Practical Nurse | 101 N Jefferson Ave, Bradley, IL 60915-1829 | 2019-12-10 |
| 1649829649 | Sophia Boyer | Speech-Language Pathologist | 372 N Grand Ave, Bradley, IL 60915-1614 | 2019-09-11 |
| 1568011096 | Elizabeth Lynn Perzee | Behavior Technician | 560 Juniper Ln, Bradley, IL 60915-1167 | 2019-09-07 |
| 1902469372 | Samantha Utter | Behavior Technician | 197 S Prairie Ave, Bradley, IL 60915-2035 | 2019-04-20 |
| 1003370461 | Brooke Hasier | Physical Therapy Assistant | 521 E North St, Bradley, IL 60915-1258 | 2019-01-29 |
| 1346724119 | Sammie Zahrobsky | Specialist/Technologist | 723 N Jackson Ave, Bradley, IL 60915-1461 | 2018-09-18 |
| 1730662982 | Randi Fabsits | Physician Assistant | 400 S Kennedy Dr Ste 400, Bradley, IL 60915-2682 | 2018-09-13 |
| 1750818613 | Ella Holt | Behavioral Analyst | 136 S Clinton Ave, Bradley, IL 60915-2402 | 2017-05-22 |
| 1609314806 | Olivia Garrett | Specialist/Technologist | 105 Old Farm Mid Ct, Bradley, IL 60915-1485 | 2017-02-08 |
| Find all providers in BRADLEY | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376503045 | Rahul Deepankar | Internal Medicine | 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867997 | Sean Patrick Marshall Riley | Internal Medicine | 1044 Marina Dr, Hurricane, WV 25526-9754 | 2020-10-07 |
| 1285277434 | Absolute Care Clinic of South Charleston | Internal Medicine | 428 Division St Ste 3b, South Charleston, WV 25309-1469 | 2019-10-21 |
| 1780158873 | Clinicians In Telemedicine LLC | Internal Medicine | 1678 Beeman Rd, Washington, WV 26181-5360 | 2019-01-11 |
| 1013489541 | War Memorial Hospital, Inc. | Internal Medicine | 3774 Valley Road, Berkeley Springs, WV 25411 | 2018-12-21 |
| 1346736758 | Recover Together, Inc. | Internal Medicine | 4421 Emerson Ave, Parkersburg, WV 26104 | 2018-07-09 |
| 1306349485 | City Hospital, Inc. | Internal Medicine | 2010 Doctor Oates Dr Ste 103, Martinsburg, WV 25401-8896 | 2018-03-14 |
| 1093221103 | Potomac Valley Hospital of Wv, Inc. | Internal Medicine | 390 Carskadon Ln, Keyser, WV 26726-2123 | 2017-12-27 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1083162739 | Heartnexus Inc | Internal Medicine | 3950 Eastlake Dr, Morgantown, WV 26508-8673 | 2016-09-12 |
| 1215380753 | Andrea Marie Stark | Internal Medicine | 3200 Maccorkle Ave Southeast, Robert C. Bird Clinical Training Center, 4th Floor, Charleston, WV 25304 | 2016-07-20 |
| 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.