DR. SUBRAMANIAM - SIVA (NPI# 1639208218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639208218 |
| Entity Type | Individual |
| Full Name | DR. SUBRAMANIAM - SIVA |
| Other Name | DR. SUBRAMANIAM - SIVALOGANATHAN |
| Credential | M.D. |
| Practice Address |
1461 South Britain Road Southbury Training School Southbury CT 06488-0901 |
| Practice Telephone | 2035862503 |
| Practice Fax Number | 2035862701 |
| Mailing Telephone | 2035862503 |
| Mailing Fax Number | 2035862701 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
018565 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1461 SOUTH BRITAIN ROAD SOUTHBURY TRAINING SCHOOL |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-0901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890641 | Gregory Gerard Decandia | Family Medicine | 1461 South Britain Road, Southbury, CT 06488-0901 | 2005-12-06 |
| 1265658298 | Thomas L Winn | Physician Assistant | 1461 South Britain Road, Southbury Training School, Southbury, CT 06488-0901 | 2007-04-18 |
| 1669507083 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury, CT 06488-1139 | 2007-02-23 |
| 1598808818 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury, CT 06488-1139 | 2007-02-15 |
| 1528101540 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury, CT 06488-1139 | 2007-02-15 |
| 1003959685 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury, CT 06488-1139 | 2007-02-14 |
| 1467592675 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury Training School, Southbury, CT 06488-1139 | 2007-02-07 |
| 1144366493 | State of Connecticut | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury, CT 06488-1139 | 2007-01-30 |
| 1902942188 | State of Ct.-office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury, CT 06488-1139 | 2007-01-29 |
| 1245376136 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Road, Southbury, CT 06488-0901 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
| Find all providers in zip 06488 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1447267026 | Casey Ott | Internal Medicine | 22 Old Waterbury Rd # 103, Southbury, CT 06488-3848 | 2006-08-03 |
| 1265488738 | Fitzhugh C Pannill IIi | Internal Medicine | 22 Old Waterbury Rd, Suite 201, Southbury, CT 06488-3848 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612100 | Holistic Healing Partners, LLC | Internal Medicine | 290 Baxter Ln, Milford, CT 06460-6813 | 2019-04-28 |
| 1003113762 | Jennifer Anne Freimund | Internal Medicine | 1450 Chapel St Ste 107, New Haven, CT 06511-4405 | 2011-02-16 |
| 1720211444 | Joseph Daniel Demayo | Internal Medicine | 66 Skyline Dr, Middlebury, CT 06762-1717 | 2009-08-27 |
| 1679701882 | Southern Connecticut Geriatric & Preventive Medicine LLC | Internal Medicine | 4 Sagamore Cove Rd, Branford, CT 06405-5020 | 2009-06-25 |
| 1184896151 | Geriatric Medicine Consultants Home Visit Practice, LLC | Internal Medicine | 33 Birch Rd, West Hartford, CT 06119-1009 | 2008-03-30 |
| 1083814339 | Lefkowitz & Scollan, M.d.'s,llc | Internal Medicine | 469 E Main St, Meriden, CT 06450-6027 | 2007-07-24 |
| 1326116948 | Barney Spivack | Internal Medicine | 101 Long Lots Rd, Westport, CT 06880-3919 | 2006-12-01 |
| 1447264155 | Audrey Lefkowitz | Internal Medicine | 469 E Main Street, Meriden, CT 06450 | 2006-07-28 |
| 1477583540 | Geraldine M Fabregas | Internal Medicine | 280 Alden Ave, New Haven, CT 06515-2114 | 2006-07-04 |
| 1083671861 | Taimur Habib | Internal Medicine | C/o Northeast Medical Group, Inc., 226 Mill Hill Ave., 3rd Floor, Bridgeport, CT 06610-2826 | 2006-04-27 |
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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.