SURENDER R NERAVETLA (NPI# 1801843602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801843602 |
| Entity Type | Individual |
| Full Name | SURENDER R NERAVETLA |
| Credential | MD |
| Practice Address |
1671 N Limestone St Springfield OH 45503-2646 |
| Practice Telephone | 9373245511 |
| Practice Fax Number | 9373980652 |
| Mailing Telephone | 9373245511 |
| Mailing Fax Number | 9373980652 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
045946 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0512181 | 05 |
| Street Address |
1671 N LIMESTONE ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366426744 | Joe Michael Hazel | Dermatology | 1671 N Limestone St, Springfield, OH 45503 | 2005-11-30 |
| 1871859595 | Joe M Hazel Md | Dermatology | 1671 N Limestone St, Springfield, OH 45503-2646 | 2012-04-06 |
| 1619143799 | Amit Arora | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1671 N Limestone St, Springfield, OH 45503-2646 | 2008-05-07 |
| 1871773325 | Associated Dermatologists, Inc. | Clinic/Center | 1671 N Limestone St, Springfield, OH 45503-2646 | 2007-11-13 |
| 1659328466 | Springfield Heart Surgeons LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1671 N Limestone St, Springfield, OH 45503-2646 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
| 1720220759 | Kathleen M Lamb | Surgery | 446 Kent Rd, Springfield, PA 19064-3306 | 2009-04-06 |
| 1417943937 | Kim J Hodgson | Surgery | 340 W Miller St, Springfield, IL 62702-4928 | 2005-09-20 |
| 1275525743 | Michael D Addis | Surgery | 649 Morris Ave, Springfield, NJ 07081-1518 | 2005-08-19 |
| 1861496242 | Springfield Surgery PC | Surgery | 322 Northcrest Dr, Springfield, TN 37172-3963 | 2005-06-13 |
| 1497315873 | Shawn Poole | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2019-06-18 |
| 1952830473 | Ruhani Nanavati | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2017-06-08 |
| 1356894521 | Tian Zhang | Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2016-07-25 |
| 1730528563 | Emily Marie Serafin | Surgery | 800 N 1st St, Springfield, IL 62702 | 2013-06-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
Please comment or provide details below to improve the information on SURENDER R NERAVETLA.
| 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.