DR. SHANKAR KERALAPURA SRIDHARA (NPI# 1932308467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932308467 |
| Entity Type | Individual |
| Full Name | DR. SHANKAR KERALAPURA SRIDHARA |
| Credential | MD |
| Practice Address |
300 Hospital Road Eent Clinic Fort Gordon GA 30905-5650 |
| Practice Telephone | 7067877822 |
| Practice Fax Number | 7067872666 |
| Mailing Telephone | 7067877822 |
| Mailing Fax Number | 7067872666 |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2013-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0101245003 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
300 HOSPITAL ROAD EENT CLINIC |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144210626 | David Seth Kauvar | Surgery | 300 Hospital Road, Surgery Clinic, Fort Gordon, GA 30905-5650 | 2005-10-25 |
| 1326438300 | Cris Hightower | Registered Nurse | 300 Hospital Road, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2015-01-29 |
| 1487063913 | Shamayne Mariah Brown | Counselor | 300 Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30906-5650 | 2014-08-08 |
| 1104119403 | Jared Allan Sutton | Emergency Medicine | 300 Hospital Road, Emergency Department, Fort Gordon, GA 30905-5650 | 2011-05-18 |
| 1225272909 | Barbara A Schiefer | Occupational Therapist | 300 Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5950 | 2009-04-27 |
| 1831346139 | Michael John Allen | Emergency Medicine | 300 Hospital Road, Fort Gordon, GA 30905-5650 | 2008-08-19 |
| 1720253776 | Theodore A Artis Jr. | Physical Therapy Assistant | 300 Hospital Road, Eisenhower Army Medical Center, Attn :credentials, Fort Gordon, GA 30905-5650 | 2008-04-29 |
| 1316089907 | Edward James Sonak | Optometrist | 300 Hospital Road, Optometry Clinic, Fort Gordon, GA 30905-5650 | 2007-02-12 |
| 1295899631 | Matthew Vernon Fargo | Family Medicine | 300 Hospital Road, Fort Gordon, GA 30905-5650 | 2006-12-20 |
| 1982772745 | Scott Jay Lawlis | Physician Assistant | 300 Hospital Road, Eisenhower Army Medical Center Commumity Care Clinic, Fort Gordon, GA 30905-5650 | 2006-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1154822971 | Coastal Ear, Nose & Throat | Otolaryngology | 200 Blue Moon Xing Ste 103, Pooler, GA 31322-9698 | 2018-02-27 |
| 1376928069 | Wiley A. Parker M.d PC | Otolaryngology | 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 | 2015-07-23 |
| 1871970210 | North Atlanta Ear Nose & Throat PC | Otolaryngology | 4150 Deputy Bill Cantrell Memorial Dr., Suite 260, Cumming, GA 30040 | 2015-05-06 |
| 1235516741 | Alicia Bernstein | Otolaryngology | 3400c Old Milton Pkwy Ste 365, Alpharetta, GA 30005-4438 | 2015-05-04 |
| 1730576638 | Mark Arnold | Otolaryngology | 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 | 2015-04-20 |
| 1851789580 | William Lawrence Nicholson | Otolaryngology | 360 W 37th St, Sea Island, GA 31561-9748 | 2015-01-05 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1922413343 | Colin Wyatt Fuller | Otolaryngology | 1120 Fifteenth St, Bp-4109, Augusta, GA 30912 | 2014-06-24 |
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| City | FORT GORDON |
| Zip Code | 30905 |
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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.