SHANKAR C. NAGANNA MD PA (NPI# 1770997181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770997181 |
| Entity Type | Organization |
| Organization Name | SHANKAR C. NAGANNA MD PA |
| Practice Address |
686 A Poole Road Westminster MD 21157-6177 |
| Practice Telephone | 4432898286 |
| Practice Fax Number | 4432898295 |
| Mailing Telephone | 4432898286 |
| Mailing Fax Number | 4432898295 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | MRS. KAREN SADOWSKI NAGANNA (ADMINISTRATOR) |
| Authorized Official Telephone | 4432898286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0059552 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA | 7496418 | 01 |
| MD | CIGNA | 1840995 | 01 |
| Street Address |
686 A POOLE ROAD |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871018085 | Pinnacle Pediatrics and Internal Medicine LLC | Clinic/Center | 13648 Orchard Pkwy Ste A-1, Westminster, CO 80023-9259 | 2017-08-08 |
| 1821533423 | Family Medical Center | Clinic/Center | 202 Warfieldsburg Rd, Westminster, MD 21157-6915 | 2017-01-05 |
| 1063843589 | Airpark Primary Care | Clinic/Center | 125 Airport Dr Unit 34, Westminster, MD 21157-3038 | 2013-12-09 |
| 1700340619 | Livefree Chiropractic Haven Inc | Clinic/Center | 7687 Westminster Blvd, Westminster, CA 92683-3921 | 2019-01-24 |
| 1023497336 | Chinh V Huynh Md Inc | Clinic/Center | 9411 Bolsa Ave Ste B, Westminster, CA 92683-5980 | 2015-05-20 |
| 1679978688 | Jacob Huynh Md. Inc | Clinic/Center | 7901 Westminster Blvd, Westminster, CA 92683-4001 | 2014-11-03 |
| 1720493018 | Westminster Pediatrics | Clinic/Center | 511 Jermor Ln, Suite 105, Westminster, MD 21157-6151 | 2014-06-25 |
| 1225372063 | Paul T. Duong, M.d., Inc | Clinic/Center | 9433 Bolsa Ave, Suite # A, Westminster, CA 92683-5964 | 2012-11-17 |
| 1912200718 | Centura Health | Clinic/Center | 8510 Bryant St, Suite 200, Westminster, CO 80031-3844 | 2010-12-16 |
| 1033447164 | Trocaire Medical LLC | Clinic/Center | 11550 Sheridan Blvd, Suite 104, Westminster, CO 80020-3311 | 2009-12-01 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on SHANKAR C. NAGANNA MD PA.
| 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.