TAVANAPPA VASANTHAKUMAR (NPI# 1811970841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811970841 |
| Entity Type | Individual |
| Full Name | TAVANAPPA VASANTHAKUMAR |
| Credential | MD |
| Practice Address |
1460 N Center Rd Burton MI 48509-1429 |
| Practice Telephone | 8107154620 |
| Practice Fax Number | 8107154602 |
| Mailing Telephone | 8107154620 |
| Mailing Fax Number | 8107154602 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4301036144 | MI | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301036144 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | TV036144 | 01 | |
| MI | 3333520 | 05 | |
| MI | 3333530 | 05 | |
| MI | 3333549 | 05 | |
| RAILROAD MEDICARE | P00109542 | 01 |
| Street Address |
1460 N CENTER RD |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121804 | Nazia Rahman | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2020-07-07 |
| 1649832767 | Furqan Rajput | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-28 |
| 1184286254 | Stephanie Papaconstantinou | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-28 |
| 1881256964 | Jimmy Qaqish | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-28 |
| 1972164788 | Pegah Akbari | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-23 |
| 1013577055 | Maria Barrera | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-20 |
| 1548820558 | Nilesh Maraj Prashad | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-20 |
| 1003476193 | Bineh-karan Singh Kalra | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-19 |
| 1639738958 | Timothy Michael Swords | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-11 |
| 1902465743 | Jerod Robert Gardner | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| 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 |
|---|---|---|---|---|
| 1043212392 | Stat Care | Emergency Medicine | 1460 South Center Rd, Burton, MI 48509 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| 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.