SUPRIYA JAGANNATH MD LLC (NPI# 1053635284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053635284 |
| Entity Type | Organization |
| Organization Name | SUPRIYA JAGANNATH MD LLC |
| Practice Address |
9657 Atterbury Ln Frederick MD 21704-7400 |
| Practice Telephone | 4104767511 |
| Mailing Telephone | 4104767511 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | DR. SUPRIYA BANAD JAGANNATH (OWNER) |
| Authorized Official Telephone | 4104767511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | D0064112 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184899403 | Supriya Jagannath Md LLC | Anesthesiology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2008-04-28 |
| Street Address |
9657 ATTERBURY LN |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1316270705 | Advanced Anesthesiology Associates LLC | Anesthesiology | 1050 Key Pkwy Ste 104, Frederick, MD 21702-4496 | 2009-09-16 |
| 1932116241 | Ali Razi | Anesthesiology | 1050 Key Pkwy Ste 103, Frederick, MD 21702-4496 | 2006-08-01 |
| 1023064219 | Alexander Sass Rubin | Anesthesiology | 6611 Hunter Trail Way, Frederick, MD 21702-2986 | 2006-05-26 |
| 1518968080 | Shelly Hairston-jones | Anesthesiology | 7490 New Technology Way, Frederick, MD 21703 | 2005-08-09 |
| 1255888269 | Optimal Anesthesia LLC | Anesthesiology | 165 Thomas Johnson Dr, Suite B/c, Frederick, MD 21702-4742 | 2016-09-07 |
| 1669866489 | Mid-maryland Anesthesia LLC | Anesthesiology | 85 Thomas Johnson Ct, Suite C, Frederick, MD 21702-4331 | 2015-03-19 |
| 1649512617 | Yuvesh Passi | Anesthesiology | 400 W 7th St, Frederick, MD 21701-4506 | 2013-03-18 |
| 1235498924 | Jordanna Johnston | Anesthesiology | 7490 New Technology Way, Frederick, MD 21703-8370 | 2012-05-15 |
| 1174899538 | Megan Lofton | Anesthesiology | 7490 New Technology Way, Frederick, MD 21703-8370 | 2012-03-29 |
| 1780972166 | Sackmd LLC | Anesthesiology | 197 Thomas Johnson Dr, Frederick, MD 21702-4314 | 2011-07-19 |
| Find all providers in FREDERICK | ||||
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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.