RAM PRASAD PANERU (NPI# 1740457902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740457902 |
Entity Type | Individual |
Full Name | RAM PRASAD PANERU |
Credential | M.D. |
Practice Address |
123 4th St Nw Bagley MN 56621-8306 |
Practice Telephone | 2186942384 |
Practice Fax Number | 2186946687 |
Mailing Telephone | 2186946501 |
Mailing Fax Number | 2186946597 |
Enumeration Date | 2008-05-15 |
Last Update Date | 2013-10-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
51422 | MN | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 12193 | ND | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 51422 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | RR MEDICARE | P01201779 | 01 |
MN | RR MEDICARE | P01201785 | 01 |
MN | 1740457902 | 05 | |
MN | RR MEDICARE | P01204945 | 01 |
Street Address |
123 4TH ST NW |
City | BAGLEY |
State | MN |
Zip Code | 56621-8306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457321176 | Clearwater County Memorial Hospital | Clinic/Center | 123 4th St Nw, Bagley, MN 56621-8306 | 2006-01-25 |
1467706846 | Giridhar Guntreddi | Pediatrics | 123 4th St Nw, Bagley, MN 56621 | 2012-11-06 |
1861621153 | Andre Spence | Internal Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2009-07-08 |
1942270673 | Bonnie Eck | Nurse Practitioner | 123 4th St Nw, Bagley, MN 56621-8306 | 2006-01-25 |
1053381798 | Esther Potti | Family Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750933685 | Kristyn Faith Bergh | Physical Therapist | 118 Central Street West, Bagley, MN 56621 | 2019-07-11 |
1366956823 | Brian Sterling Paramore | Nurse Practitioner | 1656 Central Ave St W, Bagley, MN 56621 | 2017-11-20 |
1942436985 | Cornerstone Residence of Bagley, Inc | Assisted Living Facility | 30 Sunset Ave Sw, Bagley, MN 56621 | 2009-06-04 |
1548419708 | Melissa Nicole Jenson | Registered Nurse | 14 South Main Street, Bagley, MN 56621 | 2008-09-12 |
1518116813 | Tammy Rae Hanse | Registered Nurse | 14 South Main Ave, Bagley, MN 56621 | 2008-09-11 |
1134392350 | Kimberly Kae Crist | Lodging | 28647 Hwy 92, Bagley, MN 56621 | 2008-04-09 |
1952529323 | Clearwater Health Services | Skilled Nursing Facility | 416 7th St Ne, Bagley, MN 56621 | 2007-04-23 |
1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
1992875850 | Mary Elizabeth Jones | Dentist | 13 Main Avenue North, Bagley, MN 56621 | 2006-11-08 |
1558350678 | Bradley W Neujahr Od Pa | Optometrist | 14 2nd St Ne, Bagley, MN 56621 | 2005-10-20 |
Find all providers in zip 56621 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457901506 | Centracare Health System | Emergency Medicine | 121 Lake St N, Big Lake, MN 55309-9254 | 2019-09-19 |
1700082781 | Jeffrey A Lee | Emergency Medicine | 111 Riverfront Ste 208, Winona, MN 55987-3456 | 2007-06-26 |
1669544623 | Thomas Charles Koehnen | Emergency Medicine | 38818 730th Ave, Saint James, MN 56081-4482 | 2006-11-14 |
1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
1831548676 | Sarah Mott | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-06-10 |
1508129198 | Amy M. O'neil | Emergency Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-06-19 |
1285994517 | Micah Richard Treuer | Emergency Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2012-05-21 |
1528324472 | Erin Austad | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2012-04-04 |
1417123688 | Samuel Robert Goblirsch | Emergency Medicine | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2008-05-07 |
1740467760 | Daniel P Dewey | Emergency Medicine | 500 S Maple St, Waconia, MN 55387-1752 | 2008-01-22 |
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.