BHASAKARA P BOLISETTY (NPI# 1710046263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710046263 |
| Entity Type | Individual |
| Full Name | BHASAKARA P BOLISETTY |
| Credential | M.D. |
| Practice Address |
1708 Southpoint Dr Cleveland OH 44109-1911 |
| Mailing Address |
30 E Broad St 11th Fl Attn Tonya Fasone Columbus OH 43215-3414 |
| Practice Telephone | 2167870500 |
| Mailing Telephone | 6144669930 |
| Mailing Fax Number | 6146449116 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.063292 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1708 SOUTHPOINT DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235103250 | State of Ohio Office of Budget and Management State Accounting | Psychiatric Hospital | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2006-02-15 |
| 1063799864 | Regina Marie Dodd | Registered Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2011-11-08 |
| 1548548530 | Rosalyn Ann Turpin | Registered Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2011-07-26 |
| 1174822860 | Elizabeth E Tady | Counselor | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2011-03-21 |
| 1578862363 | Carrie M Acierno | Licensed Practical Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2011-03-21 |
| 1497069579 | Japonica R Hawk | Licensed Practical Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2010-08-02 |
| 1265751713 | Jammie Lynn Edgell | Licensed Practical Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2010-05-24 |
| 1699094144 | Tameca Quande Neal | Licensed Practical Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2010-05-24 |
| 1770802225 | William Keith Resor | Licensed Practical Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2010-05-24 |
| 1154589919 | Patricia S Kettren | Registered Nurse | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2008-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1881236560 | Fivestars Onlinecare | Internal Medicine | 850 Euclid Aveneue, Suite 1022, Cleveland, OH 44114 | 2019-10-14 |
| 1982161527 | Lake Point Medical Group,llc | Internal Medicine | 1730 W 25th St Ste 2e, Cleveland, OH 44113-3108 | 2019-03-01 |
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1255818001 | Simrat Kaur | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Avenue/na- 23, Cleveland, OH 44195-0001 | 2018-07-24 |
| 1528553005 | Nazire Albayrak | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue/na2-3, Cleveland, OH 44195-0001 | 2018-06-26 |
| 1770082471 | Cleveland Clinic Health Services Professional Association, Inc | Internal Medicine | 9500 Euclid Ave # Na4, Cleveland, OH 44195 | 2018-02-08 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1669994935 | Ji Seok Park | Internal Medicine | 9500 Euclid Ave A51, Cleveland, OH 44193-1913 | 2017-07-08 |
| 1407376031 | Arunbabu Sankaranarayanan | Internal Medicine | 2351 E 22nd St # 342w, Cleveland, OH 44115-3111 | 2017-06-24 |
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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.