Sankara R Kothakota (NPI# 1063412765, PAC ID# 7911162821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1063412765 |
| PAC ID by PECOS | 7911162821 |
| Professional Enrollment ID | I20120627000238 |
| Full Name | Sankara R Kothakota |
| Organization Legal Name | PRECISION ORTHPEDICS AND SPORTS MEDICINE |
| Address |
5632 Annapolis Rd Suite 1and2 Bladensburg MD 20710-2213 |
| Phone Number | 3014864760 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 2860658192 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210003 | UNIVERSITY OF MD PRINCE GEORGE'S HOSPITAL CTR |
| 210051 | DOCTORS' COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5632 Annapolis Rd, Suite 1and2, Bladensburg, MD 20710-2213 | 3014864760 | PRECISION ORTHPEDICS AND SPORTS MEDICINE |
| Organization Legal Name | PRECISION ORTHPEDICS AND SPORTS MEDICINE |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lin | Podiatry | Precision Orthpedics and Sports Medicine | 14201 Park Ctr Dr, Suite 410, Laurel, MD 20707-5251 |
| Gregg A Ferrero | Orthopedic Surgery | Precision Orthpedics and Sports Medicine | 12090 Old Line Ctr, Suite R10a, Waldorf, MD 20602-2556 |
| Scott I Berkenblit | Orthopedic Surgery | Precision Orthpedics and Sports Medicine | 3407 Wilkens Ave, 240 Catonsville, Baltimore, MD 21229-5222 |
| Roy J Carls | Orthopedic Surgery | Precision Orthpedics and Sports Medicine | 12502 Willowbrook Rd, Suite 590, Cumberland, MD 21502-6594 |
| Siddharth S Arora | Pain Management | Precision Orthpedics and Sports Medicine | 12502 Willowbrook Rd, Suite 590, Cumberland, MD 21502-6594 |
| Aisha Hasan | Physician Assistant | Precision Orthpedics and Sports Medicine | 12502 Willowbrook Rd, Suite 590, Cumberland, MD 21502-6594 |
| Richa Bhatnagar | Family Medicine | Precision Orthpedics and Sports Medicine | 14201 Park Ctr Dr, Suite 410, Laurel, MD 20707-5251 |
| Kristen Cadieux | Podiatry | Precision Orthpedics and Sports Medicine | 12502 Willowbrook Rd, Suite 590, Cumberland, MD 21502-6594 |
| Lisa Broome | Physician Assistant | Precision Orthpedics and Sports Medicine | 12502 Willowbrook Rd, Suite 590, Cumberland, MD 21502-6594 |
| Olga L Gonzalez | Podiatry | Precision Orthpedics and Sports Medicine | 12502 Willowbrook Rd, Suite 590, Cumberland, MD 21502-6594 |
| Street Address |
5632 ANNAPOLIS RD SUITE 1AND2 |
| City | BLADENSBURG |
| State | MD |
| Zip | 20710-2213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicken Poochikian | Family Medicine | 5632 Annapolis Rd, Suite 3, Bladensburg, MD 20710-2213 | |
| Asghar Shaigany | Internal Medicine | 5632 Annapolis Rd, Suite 12, Bladensburg, MD 20710-2213 | |
| Marc Zhang | Nurse Practitioner | 5632 Annapolis Rd, Bladensburg, MD 20710-2213 | |
| Parmjit S Aujla | Internal Medicine | 5632 Annapolis Rd, Suite 13, Bladensburg, MD 20710-2213 | |
| Teresa Leah Hilliard | Podiatry | 5632 Annapolis Rd, Suite 12, Bladensburg, MD 20710-2213 |
| City | BLADENSBURG |
| Zip Code | 20710 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BLADENSBURG + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Sankara R Kothakota.
| 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.