CHAITANYA VIJAY BRUNDAVANAM (NPI# 1669699211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669699211 |
| Entity Type | Individual |
| Full Name | CHAITANYA VIJAY BRUNDAVANAM |
| Credential | MD |
| Practice Address |
1721 S Stephenson Ave Iron Mountain MI 49801-3637 |
| Practice Telephone | 9067765316 |
| Practice Fax Number | 9067765761 |
| Mailing Telephone | 9067765316 |
| Mailing Fax Number | 9067765761 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4301088796 | MI | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 4301088796 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1721 S STEPHENSON AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076581 | Vennaralagappan Mahadev | Internal Medicine | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2005-10-06 |
| 1770199358 | Laura Frances Kent | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2020-09-19 |
| 1497393102 | Amy Lynn Mayes | Dietitian, Registered | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-12-12 |
| 1437794153 | Hospitalist Medicine Physicians of Michigan - Tcs, Pllc | Internal Medicine | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-11-18 |
| 1336790492 | Buck J Darley | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-09-20 |
| 1538713474 | Matthew L Turner | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-07-29 |
| 1720540958 | Sadie Sadlowsky Mcgillviray | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-04-05 |
| 1760954911 | Baycare Clinic, LLP | Neurological Surgery | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
| 1003388216 | Jennifer Morrow | Nurse Anesthetist, Certified Registered | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
| 1750850418 | Edward Robert Mathis | Physical Therapist | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343788 | Adult Patient Care Pllc | Hospitalist | 5496 Saint Andrew Dr, Clarkston, MI 48348-4836 | 2020-07-21 |
| 1790218360 | Eileen Chang | Hospitalist | 12745 S Saginaw St # 806-196, Grand Blanc, MI 48439-2437 | 2017-04-10 |
| 1588921357 | Erik Hemingway | Hospitalist | 1215 E. Michigan Ave., 7th Fl Tower, Lansing, MI 48912-1811 | 2012-04-18 |
| 1245533967 | Hussein Ajrouche, M.d., P.C. | Hospitalist | 12740 W Warren Ave Ste 200, Dearborn, MI 48126-4530 | 2010-12-20 |
| 1316178718 | Veni Jhansi Peram | Hospitalist | 20015 Boardwalk Blvd, Southfield, MI 48075-1158 | 2009-08-03 |
| 1932330511 | Aisha Zakia Rush | Hospitalist | 2 Hurley Plz Ste 212, Flint, MI 48503-5905 | 2009-07-31 |
| 1972773695 | Edward Peszko | Hospitalist | 307 East Houghton Ave, West Branch, MI 48661-1127 | 2008-03-10 |
| 1700069481 | Emmd Health Pllc | Hospitalist | 22319 Crestwood, Woodhaven, MI 48183 | 2007-12-17 |
| 1598874612 | Sripriya Ganesan | Hospitalist | 1675 Leahy St Ste 304b, Muskegon, MI 49442-5543 | 2006-08-30 |
| 1508971581 | Inpatient Medical Specialists, Plc | Hospitalist | 1675 Leahy St Ste 404b, Muskegon, MI 49442-5544 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
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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.