VEENA MYSORE (NPI# 1053318089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053318089 |
| Entity Type | Individual |
| Full Name | VEENA MYSORE |
| Credential | MD |
| Practice Address |
5100 Auth Way Kaiser Permanente Marlow Heights Medical Center Suitland MD 20746-4207 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 3017025000 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2011-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD038413 | DC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101246622 | VA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | D63315 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036103171 | 05 |
| Street Address |
5100 AUTH WAY KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER |
| City | SUITLAND |
| State | MD |
| Zip Code | 20746-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485788 | Shannon Ashley Haines | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4207 | 2020-07-24 |
| 1780177485 | Joya Petersen | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4276 | 2018-06-07 |
| 1912434473 | Brooke Hornak | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4207 | 2017-05-16 |
| 1750739561 | Victoria Dickens | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4207 | 2016-06-02 |
| 1235598285 | Stephanie Spaulding | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746 | 2016-02-18 |
| 1477963940 | Adenike Akingbe | Pharmacist | 5100 Auth Way, Suitland, MD 20746-4207 | 2014-05-05 |
| 1407290075 | Cynthia Ugbomah Shepard | Obstetrics & Gynecology | 5100 Auth Way, Suitland, MD 20746-4207 | 2013-04-25 |
| 1316288467 | Constance Banks | Pharmacist | 5100 Auth Way, Suitland, MD 20746-4207 | 2013-03-13 |
| 1174864235 | Karen Evon Latson | Pharmacist | 5100 Auth Way, Suitland, MD 20746-4207 | 2013-03-13 |
| 1417298340 | Jacquay Myesha Stephenson | Pharmacist | 5100 Auth Way, Suitland, MD 20746-4207 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186217 | A1 Surgical Services L.L.C. | Specialist/Technologist, Other | 6710 Oxon Hill Rd #150, Oxon Hill, MD 20746 | 2018-12-28 |
| 1316427610 | Ryan Rehabilitation LLC | Counselor | 5210 Auth Rd Ste 100, Suitland, MD 20746 | 2018-08-16 |
| 1669968616 | Monica Heleine Veney | Home Health | 3220 Swann Rd Apt 102, Suitland, MD 20746 | 2018-07-02 |
| 1578078804 | Center for Pain Management, LLC | Pain Medicine | 5801 Allentown Road, 503, Suitland, MD 20746 | 2017-12-08 |
| 1811424153 | Dimonique Brandon | Home Health Aide | 4260, Suitland Rd Apt 104, Suitland, MD 20746 | 2017-05-17 |
| 1831559772 | Commie Anana | Pharmacist | 4705 Silver Hill Rd, Suitland, MD 20746 | 2016-03-04 |
| 1821475682 | Maryland Care of Camp Springs LLC | Clinic/Center | 4703 Old Soper Road, Suite R-1, Camp Springs, MD 20746 | 2015-04-30 |
| 1356759708 | Therapy Associates, LLC | Physical Therapist | 5625 Allentown Road, Suite 200, Suitland, MD 20746 | 2014-07-29 |
| 1710223441 | Rosemary Ufumwen | Home Health Aide | 3928 Suitland Road, 3, Suitland, MD 20746 | 2012-12-28 |
| 1174798250 | Seanta Renitta Cleveland | Specialist/Technologist | 5602 Auth Way, Camp Springs, MD 20746 | 2008-04-29 |
| Find all providers in zip 20746 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912098823 | Paul M. Wilson, M.d., P.C. | Family Medicine | 4710 Auth Pl, Suite #595, Suitland, MD 20746-4223 | 2006-09-27 |
| 1992716112 | Betty Toloria Braswell | Family Medicine | 5111 Silver Hill Rd, Suitland, MD 20746-5216 | 2006-08-11 |
| 1558367334 | Ihn Whan Roh | Family Medicine | 5107 Silver Hill Rd, Suitland, MD 20746-5213 | 2005-06-25 |
| 1649682626 | Dimensions Healthcare Associates, Inc | Family Medicine | 5001 Silver Hill Rd, Suitland, MD 20746-5215 | 2014-05-27 |
| 1104071646 | Dr.roh & Shin's Clinic | Family Medicine | 5107 Silver Hill Rd, Suitland, MD 20746-5213 | 2008-11-25 |
| 1972711943 | Omid Rashidi | Family Medicine | 5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746-4207 | 2007-05-21 |
| 1861557035 | Eugene C Taylor II | Family Medicine | 5001 Silver Hill Rd, Second Floor (greater Baden Medical Services), Suitland, MD 20746-5215 | 2006-12-27 |
| 1295897668 | Shital Sureshchand Desai | Family Medicine | 5100 Auth Way, Suitland, MD 20746-4207 | 2006-12-14 |
| 1366500985 | Crystal P Yeldell | Family Medicine | 5100 Auth Way, Suitland, MD 20746-4207 | 2006-12-05 |
| 1215041728 | Betty Toloria Braswell, Md, PC | Family Medicine | 5111 Silver Hill Rd, Suitland, MD 20746-5216 | 2006-08-19 |
| Find all providers in SUITLAND | ||||
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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.