VIJAYARANI SURESH (NPI# 1629209580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629209580 |
Entity Type | Individual |
Full Name | VIJAYARANI SURESH |
Credential | NP |
Practice Address |
6 Farley Rd Brunswick ME 04011-2642 |
Mailing Address |
Po Box 9746 Portland ME 04104-5040 |
Practice Telephone | 2077258079 |
Practice Fax Number | 2077984455 |
Mailing Telephone | 2077913888 |
Mailing Fax Number | 2078287850 |
Enumeration Date | 2009-07-27 |
Last Update Date | 2012-08-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP91025 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6 FARLEY RD |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-2642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003891177 | Sarah Marie Davis | Family Medicine | 6 Farley Rd, Brunswick, ME 04011-2642 | 2005-12-13 |
1558899393 | Jessica Lael Loney | Registered Nurse | 6 Farley Rd, Brunswick, ME 04011-2642 | 2017-05-24 |
1891189288 | Robin Baier | Nurse Practitioner | 6 Farley Rd, Brunswick, ME 04011-2642 | 2015-03-24 |
1477941425 | Amber Shepherd | Nurse Practitioner | 6 Farley Rd, Brunswick, ME 04011-2642 | 2014-12-29 |
1891082871 | Michael Posch | Neuromusculoskeletal Medicine & OMM | 6 Farley Rd, Brunswick, ME 04011-2642 | 2011-06-29 |
1063702819 | Sarah White | Family Medicine | 6 Farley Rd, Brunswick, ME 04011-2642 | 2011-04-13 |
1134329287 | Kate Pinkerton | Nurse Practitioner | 6 Farley Rd, Brunswick, ME 04011-2642 | 2007-07-18 |
1912917774 | Michele Marchildon | Physician Assistant | 6 Farley Rd, Brunswick, ME 04011-2642 | 2006-08-08 |
1760414676 | Alain Montegut | Family Medicine | 6 Farley Rd, Brunswick, ME 04011-2642 | 2006-07-07 |
1881622686 | Teresa C Taylor | Nurse Practitioner | 6 Farley Rd, Brunswick, ME 04011-2642 | 2006-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
Find all providers in zip 04011 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
1265030563 | Christie Tolbert | Nurse Practitioner | 156 Banks Dr, Brunswick, GA 31523-6205 | 2020-10-09 |
1417577800 | Chahnaz El Jaouhari | Nurse Practitioner | 500 Westchester Dr, Brunswick, OH 44212-1868 | 2020-04-25 |
1982235370 | Kristy Chesser | Nurse Practitioner | 2500 Starling St Ste 602, Brunswick, GA 31520-4271 | 2020-02-04 |
1861031023 | Mark Ryan Wylie | Nurse Practitioner | 112 Palmera Ln, Brunswick, GA 31525-3032 | 2020-01-05 |
1548738107 | Ruth Sroka | Nurse Practitioner | 4000 Sherwood Dr, Brunswick, OH 44212-2652 | 2018-11-12 |
1669949251 | Jennifer Erika Stuver | Nurse Practitioner | 46 Skyview Dr, Brunswick, OH 44212-1204 | 2018-11-01 |
1124514120 | Holly Rae Logan | Nurse Practitioner | 121 Medical Center Dr Ste 2600, Brunswick, ME 04011-2668 | 2018-07-03 |
1780187120 | Pamela Mesowski Hinson | Nurse Practitioner | 105 Clipper Bay Rd, Brunswick, GA 31523-8936 | 2018-03-12 |
1174039481 | Rachel Raney Weaver-hall | Nurse Practitioner | 209 Prior Ave, Brunswick, GA 31525-2326 | 2017-12-21 |
Find all providers in BRUNSWICK |
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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.