Siviram R Kollengode (NPI# 1154373561, PAC ID# 5496640955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154373561 |
| PAC ID by PECOS | 5496640955 |
| Professional Enrollment ID | I20060915000212 |
| Full Name | Siviram R Kollengode |
| Organization Legal Name | SUPERIOR MED LLC |
| Address |
1432 Clark St B Cambridge OH 43725-8745 |
| Phone Number | 7404350930 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880688290 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360203 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1200 Clark St, Cambridge, OH 43725-9611 | 7404398839 | SUPERIOR MED LLC |
| 1230 Clark St A, Cambridge, OH 43725-9611 | 7404352525 | SUPERIOR MED LLC |
| 1432 Clark St B, Cambridge, OH 43725-8745 | 7404350930 | SUPERIOR MED LLC |
| 9259 Cadiz Rd, Cambridge, OH 43725-9564 | 7404397772 | SUPERIOR MED LLC |
| Organization Legal Name | SUPERIOR MED LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eyad Mahayri | Pulmonary Disease | Superior Med LLC | 9259 Cadiz Rd, Cambridge, OH 43725-9564 |
| Melissa A Nau | Family Medicine | Superior Med LLC | 205 Seneca Ave, Byesville, OH 43723-1335 |
| Kim R Routh | Family Medicine | Superior Med LLC | 18125 Woodsfield Rd, Caldwell, OH 43724-9709 |
| Karl W Kumler Iii | Orthopedic Surgery | Superior Med LLC | 316 Clark St, Cambridge, OH 43725-1932 |
| Robert S Huff | Sports Medicine | Superior Med LLC | 9259 Cadiz Rd, Cambridge, OH 43725-9564 |
| Candice Critser | Nurse Practitioner | Superior Med LLC | 9259 Cadiz Rd, Cambridge, OH 43725-9564 |
| Joseph Frederick Davis | Podiatry | Superior Med LLC | 9259 Cadiz Rd, Cambridge, OH 43725-9564 |
| Clifford B Maximo | Urology | Superior Med LLC | 9259 Cadiz Rd, Cambridge, OH 43725-9564 |
| Lori L Kelly | Nurse Practitioner | Superior Med LLC | 9259 Cadiz Rd, Cambridge, OH 43725-9564 |
| Mary Lilko | Family Medicine | Superior Med LLC | 9259 Cadiz Rd, Cambridge, OH 43725-9564 |
| Street Address |
1432 CLARK ST B |
| City | CAMBRIDGE |
| State | OH |
| Zip | 43725-8745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackson L Flanigan | General Surgery | 1432 Clark St B, Cambridge, OH 43725-8745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Oaks | Psychiatry | State of Ohio Office of Budget and Management State Accounting | 66737 Toland Dr, Cambridge, OH 43725-1155 |
| Sandra Massullo-schubert | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Zachary C Rich | Physician Assistant | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Patrick D Goggin | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Stephen J Durant | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Rebecca A Brauch | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Douglas A Rush | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Tammy A Anderson | Nurse Practitioner | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Mark T Goggin | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Brittany J Burks | Physician Assistant | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Find all physicians in zip 43725 | |||
| City | CAMBRIDGE |
| Zip Code | 43725 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAMBRIDGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Siviram R Kollengode.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.