DR. LITA R BUDIAMAL (NPI# 1962518019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962518019 |
| Entity Type | Individual |
| Full Name | DR. LITA R BUDIAMAL |
| Other Name | DR. LITA R BUDIAMAL MATHAI |
| Credential | MD |
| Practice Address |
1 Elizabeth Pl Ste D Dayton OH 45408-1445 |
| Practice Telephone | 9372222233 |
| Practice Fax Number | 9372229665 |
| Mailing Telephone | 9372222233 |
| Mailing Fax Number | 9372229665 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 35048302 | OH | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35048302 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE PTAN | BU0850756 | 01 |
| OH | ANTHEM | 000000213070 | 01 |
| OH | RAILROAD MEDICARE | 050082013 | 01 |
| OH | 0505402 | 05 |
| Street Address |
1 ELIZABETH PL STE D |
| City | DAYTON |
| State | OH |
| Zip Code | 45408-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312300 | Nicole M Walker | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2020-09-29 |
| 1659922615 | Hannah Joy Carr | Physician Assistant | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2019-09-21 |
| 1689149809 | Quan James Wang | Family Medicine | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-10-04 |
| 1942791991 | Carissa Marie Cantelupe | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-05-25 |
| 1962990135 | Qiying She | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-04-24 |
| 1114425535 | Dayton Pain Center LLC | Clinical Medical Laboratory | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-31 |
| 1225546823 | Sherri Lynn Underwood | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-17 |
| 1922512821 | Amber Mckinney | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-30 |
| 1104330042 | Sophia Addrienne Pullen | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-30 |
| 1205349362 | Dayton Pain Center LLC | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1730363813 | Susan C Mumford | Social Worker | 627 S. Edwin C. Moses Blvd, Suite 100, Dayton, OH 45408 | 2007-12-24 |
| 1649237553 | Jerry Eugene Flexman | Clinical Neuropsychologist | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-04-26 |
| 1598722571 | William Klykylo | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
| 1265491930 | Healing Touch Home Healthcare | Registered Nurse | 601 S.edwin C. Moses, East Plaza, Suite 3-i, Dayton, OH 45408 | 2006-03-21 |
| 1023082401 | Philip Copelain Williams Jr. | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-14 |
| 1912987256 | Heart Hospital of Dto, LLC | General Acute Care Hospital | 707 S. Edwin C. Moses Blvd, Dayton, OH 45408 | 2006-01-20 |
| 1821076365 | Pesso Investments, Ltd | Emergency Medicine | 707 S. Edwin C. Moses Blvd., Dayton, OH 45408 | 2006-01-05 |
| 1184605727 | Benjamin David Shaffer | Pharmacist | 707 South Edwin C. Moses Blvd., Dayton, OH 45408 | 2005-11-10 |
| 1396974358 | The Karrington Company LLC | Durable Medical Equipment & Medical Supplies | One Elizabeth Place, Dayton, OH 45408 | 2009-07-10 |
| Find all providers in zip 45408 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341911 | Laila Ibrahim Gomaa | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2005-07-26 |
| 1922375179 | Dayton Regional Pain Management, LLC | Anesthesiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2011-11-16 |
| 1063641272 | Dayton Pain Center LLC | Anesthesiology | 9000 N Main St, Dayton, OH 45415-1180 | 2009-07-09 |
| 1124298443 | Prime Health Medical Services | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2008-03-03 |
| 1316135585 | Amol Soin | Anesthesiology | 7076 Corporate Way, Suite 201, Dayton, OH 45459-4281 | 2007-10-11 |
| 1902097280 | Dayton Osteopathic Hospital | Anesthesiology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2007-08-05 |
| 1356414957 | Mervet K Saleh | Anesthesiology | 1235 E Alex Bell Rd, Dayton, OH 45459-2658 | 2006-11-15 |
| 1164594834 | Ohio Institute for Comprehensive Pain Management, Inc. | Anesthesiology | 1235 E Alex Bell Rd, Dayton, OH 45459-2658 | 2006-11-15 |
| 1154404440 | Townsend Smith IIi | Anesthesiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2006-10-23 |
| 1396835286 | Anjana Kundu | Anesthesiology | One Children's Plaza, Children's Anesthesia Group, Inc., Dayton, OH 45404-1815 | 2006-10-13 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DR. LITA R BUDIAMAL.
| 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.