SURAPANENI RAMANADHARAO MDPA (NPI# 1639453954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639453954 |
| Entity Type | Organization |
| Organization Name | SURAPANENI RAMANADHARAO MDPA |
| Practice Address |
358 Broadway Suite 207 Bangor ME 04401-3929 |
| Mailing Address |
Po Box 8117 Bangor ME 04402-8117 |
| Practice Telephone | 2079423878 |
| Practice Fax Number | 2079902803 |
| Mailing Telephone | 2079423878 |
| Mailing Fax Number | 2079902803 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | DR. SURAPANENI P RAMANADHARAO (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2079423878 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9356 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 112410000 | 05 |
| Street Address |
358 BROADWAY SUITE 207 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881679116 | Bangor Surgical Associates, P.a. | Surgery | 358 Broadway, Suite 306, Bangor, ME 04401-3929 | 2005-12-09 |
| 1992105043 | Angeli Chopra | Internal Medicine | 358 Broadway, Suite 100, Bangor, ME 04401-3929 | 2014-08-26 |
| 1659651214 | Jason Bourque | Orthopaedic Surgery | 358 Broadway, Suite 202, Bangor, ME 04401-3985 | 2011-08-26 |
| 1538276993 | John J Mcdevitt Iv | Internal Medicine | 358 Broadway, Suite 100, Bangor, ME 04401-3929 | 2006-08-23 |
| 1235187204 | Hatem T Shoukeir | Internal Medicine | 358 Broadway, Suite 100, Bangor, ME 04401-3929 | 2006-05-04 |
| 1770557316 | Scott D Shulman | Psychiatry & Neurology | 358 Broadway, Suite 306, Bangor, ME 04401-3929 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063640555 | Curtis P. Ross | Urology | 55 Broadway Ste 2, Bangor, ME 04401-5201 | 2009-06-23 |
| 1659534782 | Jonas Gricius | Urology | 55 Broadway Fl 2, Bangor, ME 04401-5201 | 2008-07-09 |
| 1013913433 | Ali Khavari | Urology | 55 Broadway, Suite 2, Bangor, ME 04401-5201 | 2005-06-21 |
| 1902403132 | Catlin Flynn | Urology | 55 Broadway Ste 2, Bangor, ME 04401-5201 | 2020-10-01 |
| 1346205457 | Maine Urology Associates P.a. | Urology | 336 Mount Hope Ave, Suite 1, Bangor, ME 04401-4236 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942614979 | Marc Calabrese | Urology | 21 Donald B Dean Dr Ste 1, South Portland, ME 04106-3234 | 2014-06-18 |
| 1144507948 | Andrew Percy Iverson,md II | Urology | 11 Staples Point Rd, Freeport, ME 04032-6003 | 2011-11-08 |
| 1790928570 | Evan J Dunn | Urology | 287 Main St Ste 404, Lewiston, ME 04240-7056 | 2009-04-09 |
| 1639260847 | Derrick S Tooth | Urology | 1053 Western Ave, Manchester, ME 04351-3403 | 2006-09-27 |
| 1093806200 | Joseph Flannery Lopes | Urology | 9 Pleasant Street, Suite 2, Oakland, ME 04963 | 2006-09-27 |
| 1720013204 | John Russell | Urology | 22 Hartford St # Sr, Houlton, ME 04730-1844 | 2006-07-12 |
| 1649226655 | Moritz H Hansen | Urology | 100 Brickhill Avenue, South Portland, ME 04106 | 2006-05-25 |
| 1285692392 | James W Ross | Urology | 85 Baribeau Drive, Brunswick, ME 04011 | 2006-05-01 |
| 1124080445 | Elizabeth A Albertson | Urology | 3 Glen Cove Dr # 3, Rockport, ME 04856-4232 | 2006-04-03 |
| 1679541346 | Che T Ho | Urology | 128 Sweden St, Caribou, ME 04736-2163 | 2006-03-09 |
| 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.