PERIASAMY SAMIKKANNU (NPI# 1790776342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790776342 |
| Entity Type | Individual |
| Full Name | PERIASAMY SAMIKKANNU |
| Credential | MD |
| Practice Address |
45 Webster Commons Blvd Ste 200 Webster NY 14580-3813 |
| Practice Telephone | 5858720650 |
| Practice Fax Number | 5858722474 |
| Mailing Telephone | 5858720650 |
| Mailing Fax Number | 5858722474 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 1551301 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
45 WEBSTER COMMONS BLVD STE 200 |
| City | WEBSTER |
| State | NY |
| Zip Code | 14580-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615916 | Barton Kaplan | Pediatrics | 45 Webster Commons Blvd, Suite 200, Webster, NY 14580-3813 | 2005-11-01 |
| 1720569692 | Yuri Buts | Pharmacist | 45 Webster Commons Blvd, Webster, NY 14580-3813 | 2018-08-28 |
| 1891276317 | Michael James Deangelis | Pharmacist | 45 Webster Commons Blvd, Webster, NY 14580-3813 | 2018-08-23 |
| 1952606212 | A & J Pharmacy LLC | Pharmacy | 45 Webster Commons Blvd, Webster, NY 14580-3813 | 2011-01-18 |
| 1205951407 | Catherine Jeanne Farrell | Social Worker | 45 Webster Commons Blvd, Suite 200, Webster, NY 14580-3813 | 2007-03-20 |
| 1609905207 | Webster Medical Group, PC. | Family Medicine | 45 Webster Commons Blvd, Suite 200, Webster, NY 14580-3813 | 2007-03-02 |
| 1740227511 | Nancy S Phelps | Social Worker | 45 Webster Commons Blvd, Suite 200, Webster, NY 14580 | 2006-06-01 |
| 1073504353 | Sharada Menon | Pediatrics | 45 Webster Commons Blvd, Ste 200, Webster, NY 14580-3813 | 2005-11-04 |
| 1649261066 | Kartik Patel | Internal Medicine | 45 Webster Commons Blvd, Ste 200, Webster, NY 14580-3813 | 2005-11-03 |
| 1417948191 | Nicolas A Venci | Family Medicine | 45 Webster Commons Blvd, Suite 200, Webster, NY 14580-3813 | 2005-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1740813161 | National Vision Inc | Optometrist | 927 Hold Road, Suite 300, Webster, NY 14580 | 2020-02-13 |
| 1447808738 | Neva French | Technician | 1640 Lake Road, Webster, NY 14580 | 2019-08-29 |
| 1699329946 | Jillian Schifano Sweeney | Registered Nurse | 119 South Ave, Wcsd, Webster, NY 14580 | 2019-07-25 |
| 1699232355 | Kw Health System, Inc. | Clinic/Center | 53 Salori Court, Temporary Location, Webster, NY 14580 | 2019-02-28 |
| 1174090393 | Brent William Fairchild | Physician Assistant | 1081 Bright Stream Way, Webster, NY 14580 | 2018-10-25 |
| 1114435500 | Vanisha Mcbean | Licensed Practical Nurse | 164 Country Manor Way Apt 22, Webster, NY 14580 | 2018-01-19 |
| 1235658204 | Amarilis Perez | Licensed Practical Nurse | 15 Huntsman Way, Webster, NY 14580 | 2017-09-11 |
| 1710425178 | Michelle Malle Michlin | Licensed Practical Nurse | 1095 Fawnwood Drive, Webster, NY 14580 | 2017-02-06 |
| 1851743900 | Linda A Harris | Social Worker | 63 Daytona Ave, Webster, NY 14580 | 2016-07-12 |
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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 |
|---|---|---|---|---|
| 1073987111 | Bay Area Transitional Clinic Pllc | Internal Medicine | 525 Blossom St, Webster, TX 77598-4209 | 2015-11-29 |
| 1699141077 | Quirico Evangelista | Internal Medicine | 108 Thompson Rd, Webster, MA 01570-1411 | 2015-08-19 |
| 1851684955 | David Washington | Internal Medicine | 250 Blossom St Ste 400, Webster, TX 77598-4241 | 2011-05-23 |
| 1609184027 | Muralidhar Reddy Yerramadha | Internal Medicine | 560 Blossom St Ste C, Webster, TX 77598-4237 | 2010-09-20 |
| 1790914265 | I Am Panlilio Resurreccion | Internal Medicine | 2000 Empire Blvd Ste 120, Webster, NY 14580-1957 | 2009-07-06 |
| 1467689026 | Jiries Suleiman Dahu | Internal Medicine | 600 N Kobayashi Ste 312, Webster, TX 77598-4841 | 2009-06-22 |
| 1003099474 | Webster Psychiatry & Medicine, Pllc | Internal Medicine | 1678 Empire Blvd Ste 100, Webster, NY 14580-1896 | 2007-12-09 |
| 1639360829 | John George Knecht IIi | Internal Medicine | 600 N Kobayashi Ste 310, Webster, TX 77598 | 2007-08-05 |
| 1013038074 | Sheila Phelps Kelley | Internal Medicine | 1112 Rousseau Dr, Webster, NY 14580-4116 | 2007-04-03 |
| 1205846334 | Omar Albustami | Internal Medicine | 500 N Kobayashi Ste A, Webster, TX 77598-4722 | 2006-08-09 |
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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.