DR. SATHISH ADIGOPULA (NPI# 1780953562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780953562 |
| Entity Type | Individual |
| Full Name | DR. SATHISH ADIGOPULA |
| Credential | M.D., D.C.H., M.P.H. |
| Practice Address |
2422 Lake Ave Ashtabula OH 44004-4985 |
| Practice Telephone | 4409976980 |
| Mailing Telephone | 4409976980 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 098622 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2422 LAKE AVE |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130725 | Hearn Vascular, Inc. | Surgery | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2005-08-09 |
| 1992238984 | Sampurna Shakya | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2017-04-06 |
| 1699168443 | Mackenzie Acus Starns | Physician Assistant | 2422 Lake Ave, Ashtabula, OH 44004 | 2015-03-17 |
| 1801284344 | Jennifer Glaettli | Nurse Practitioner | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2015-01-07 |
| 1821357849 | Evangelos J. Bibidakis | Surgery | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2012-05-11 |
| 1992096549 | Nathaniel Scott Franley | Family Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2011-04-29 |
| 1336477629 | Ashtabula County Medical Center | Urology | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2009-11-24 |
| 1194966978 | Reham E El Gammal | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2009-03-09 |
| 1932364940 | Sanjay Kumar Srivastava | Internal Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2008-07-20 |
| 1205001161 | Preetha Muthusamy | Psychiatry & Neurology | 2422 Lake Ave, 3rd Floor, Ashtabula, OH 44004-4985 | 2008-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528164290 | Kade N Raghupathy | Pediatrics | 1527 W 19th St, Ashtabula, OH 44004-3033 | 2006-09-16 |
| 1124081427 | Douglas Carlisle Fleck | Pediatrics | 3315 N Ridge Rd E Ste 100, Ashtabula, OH 44004-4347 | 2006-04-08 |
| 1992238984 | Sampurna Shakya | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2017-04-06 |
| 1194966978 | Reham E El Gammal | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2009-03-09 |
| 1841327640 | University Primary Care Practices | Pediatrics | 1527 W 19th St, Ashtabula, OH 44004-3033 | 2007-02-27 |
| 1558462200 | Kaveripaatum C Nagaprakash | Pediatrics | 1527 W 19th St, Ashtabula, OH 44004-3033 | 2006-09-26 |
| 1023075280 | Doris P. Miller | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237968 | Greater Cleveland Pediatrics | Pediatrics | 3311 Richmond Rd, Beachwood, OH 44122-4195 | 2020-08-31 |
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1447879200 | Amy C Buck | Pediatrics | 30 Kim Ct W, Westerville, OH 43081-2554 | 2020-04-13 |
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1972164556 | Grace Nikolai | Pediatrics | 9000 N Main St Ste 332, Englewood, OH 45415-1185 | 2019-06-25 |
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1477022606 | Anthony George Pucell | Pediatrics | 1120 Gordon Rd, Lyndhurst, OH 44124-1335 | 2018-11-16 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
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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.