PRAKASH SAMPATH


Address: 120 Dudley St, Providence, RI 02905-2436
Phone: 4012734155

PRAKASH SAMPATH (NPI# 1689657306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689657306
Entity Type Individual
Full Name PRAKASH SAMPATH
Credential MD
Practice Address 120 Dudley St
Providence
RI 02905-2436
Mailing Address 118 Dudley St
Providence
RI 02905-2403
Practice Telephone 4012734155
Practice Fax Number 4012734115
Mailing Telephone 4012734155
Mailing Fax Number 4012734115
Enumeration Date 2005-11-28
Last Update Date 2019-11-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207T00000X Neurological Surgery 205361 MA Allopathic & Osteopathic Physicians
Y 207T00000X Neurological Surgery MD010126 RI Allopathic & Osteopathic Physicians

Office Location

Street Address 120 DUDLEY ST
City PROVIDENCE
State RI
Zip Code 02905-2436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538154703 Yoash R Enzer Ophthalmology 120 Dudley St, Suite 104, Providence, RI 02905-2436 2005-09-14
1538693023 Donna O'neil Ophthalmology 120 Dudley St, Suite 104, Providence, RI 02905-2436 2017-04-12
1316114820 Kathleen Fizgerald, Md Obstetrics & Gynecology 120 Dudley St, Suite 305, Providence, RI 02905-2436 2008-05-14
1548442338 Philip R Rizzuto, Md Ltd Ophthalmology 120 Dudley St, Suite 301, Providence, RI 02905-2436 2007-12-04
1023290939 Michael E. Migliori, Md Facs, Ltd Ophthalmology 120 Dudley St, Suite 301, Providence, RI 02905-2436 2007-12-03
1861694069 Robert H. Janigian Jr. Md LLC Ophthalmology 120 Dudley St, Suite 303, Providence, RI 02905-2436 2007-06-01
1770689002 Chad P. Nevola, Md, Inc. Pediatrics 120 Dudley St, Suite 105, Providence, RI 02905-2436 2006-09-15
1033130224 Mary Ann C Passero Allergy & Immunology 120 Dudley St, Suite 203, Providence, RI 02905-2436 2006-07-22
1881614907 Kathleen Fitzgerald Obstetrics & Gynecology 120 Dudley St, Providence, RI 02905-2436 2006-07-20
1366428120 Richard G Bryan Ophthalmology 120 Dudley St, Suite 303, Providence, RI 02905-2436 2005-12-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407199631 Zain Boghani Neurological Surgery 593 Eddy Street Apc 6, Apc 6, Providence, RI 02903-4923 2013-04-06
1114169406 Petra Margarete Klinge Neurological Surgery 55 Claverick Street, Providence, RI 02903 2009-04-01
1770619165 Wael F. Asaad Neurological Surgery 593 Eddy St Fl 6, Rih Department of Neurosurgery, Providence, RI 02903-4923 2007-02-27
1831176445 Curtis Doberstein Neurological Surgery 1 Davol Sq, Providence, RI 02903-4755 2005-12-23
1770560435 Adetokunbo Adegboyega Oyelese Neurological Surgery 55 Claverick St, Providence, RI 02903-4144 2005-12-23
1477538411 Stephen Clayton Saris Neurological Surgery 3 Davol Square, Suite B200, Providence, RI 02903-4762 2005-12-13
1548897523 Joshua Richard Feler Neurological Surgery 593 Eddy St, Providence, RI 02903-4923 2020-03-27
1104483353 Belinda Shao Neurological Surgery 593 Eddy St, Providence, RI 02903-4923 2019-05-23
1659864361 Rohaid Ali Neurological Surgery 593 Eddy St, Providence, RI 02903-4923 2018-06-08
1053840827 Elias Shaaya Neurological Surgery 593 Eddy St, Providence, RI 02903-4923 2017-06-06
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Competitor

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City PROVIDENCE
Zip Code 02905

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Dataset Information

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.

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