DR. SANJAY VIJAYA THEKKEURUMBIL (NPI# 1902065261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902065261 |
| Entity Type | Individual |
| Full Name | DR. SANJAY VIJAYA THEKKEURUMBIL |
| Credential | MD |
| Practice Address |
7430 N. Shadeland Ave Suite 200 Indianapolis IN 46250 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176210668 |
| Practice Fax Number | 3175777538 |
| Mailing Telephone | 3176211647 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 01071898A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
7430 N. SHADELAND AVE SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457524522 | Ben M Tsai | Colon & Rectal Surgery | 5255 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2008-04-09 |
| 1033399704 | David T. Harrison, D.o.,p.c. | Colon & Rectal Surgery | 3520 Guion Rd Ste 307, Indianapolis, IN 46222-1672 | 2007-11-09 |
| 1881699296 | Nikhil Mulji Patel | Colon & Rectal Surgery | 8424 Naab Rd, Ste 2m, Indianapolis, IN 46260-1966 | 2005-06-14 |
| 1205197340 | Evan Kenneth Fitz | Colon & Rectal Surgery | 5255 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6343 | 2012-06-05 |
| 1992998819 | James R Hodge | Colon & Rectal Surgery | 3520 Guion Rd, Suite 307, Indianapolis, IN 46222 | 2007-08-23 |
| 1134242316 | Ateet H Shah | Colon & Rectal Surgery | 7430 N Shadeland Ave Ste 200, Indianapolis, IN 46250 | 2007-04-10 |
| 1033222633 | Colon & Rectal Care Inc | Colon & Rectal Surgery | 7430 N Shadeland Ave, Colon & Rectal Care Suite 200, Indianapolis, IN 46250 | 2006-08-16 |
| 1053362137 | Bruce W Robb | Colon & Rectal Surgery | 550 University Blvd, Suite 1295, Indianapolis, IN 46202-5149 | 2006-05-13 |
| 1255396255 | David Thomas Harrison | Colon & Rectal Surgery | 3660 Guion Rd, Ste 330, Indianapolis, IN 46222-1697 | 2006-04-20 |
| 1376507103 | Frederick Robert Lane | Colon & Rectal Surgery | 5255 E Stop 11 Rd, Indianapolis, IN 46237-6340 | 2006-04-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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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.