PURUSHOTHAMAN MUTHUKANAGARAJ (NPI# 1083902399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083902399 |
| Entity Type | Individual |
| Full Name | PURUSHOTHAMAN MUTHUKANAGARAJ |
| Credential | M.D. |
| Practice Address |
905 Johns Hopkins Dr Ecu Physicians Pyschiatric Center Greenville NC 27834-2056 |
| Mailing Address |
Po Box 751069 Ecu Physicians Charlotte NC 28275-1069 |
| Practice Telephone | 2527441406 |
| Practice Fax Number | 2527444243 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2016-01168 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2016-01168 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1083902399 | 05 | |
| NC | BCBS OF NC | 19LTG | 01 |
| Street Address |
905 JOHNS HOPKINS DR ECU PHYSICIANS PYSCHIATRIC CENTER |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923620 | Diana J Antonacci | Psychiatry & Neurology | 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine- Outpatient Clinic, Greenville, NC 27834-7225 | 2005-06-21 |
| 1932706421 | Twanna T Hill | Registered Nurse | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2020-10-07 |
| 1962912253 | Matthew A Wilson | General Practice | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2017-10-02 |
| 1306371893 | Amrish Tulsi Pipalia | Student in an Organized Health Care Education/Training Program | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2017-04-22 |
| 1073965349 | Samantha Karlene Brown Cunningham | Psychologist | 905 Johns Hopkins Dr, Ecu Physicians Psychiatry, Greenville, NC 27834-2056 | 2016-07-11 |
| 1023464195 | Elham Rahmani | Psychiatry & Neurology | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2016-05-09 |
| 1124408190 | Richelle Lafaye Smallwood | Social Worker | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2015-06-04 |
| 1205233426 | Ashley Joi Britton | Psychologist | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2014-12-03 |
| 1821421876 | Ecu Telepsychiatry Center | Psychiatry & Neurology | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2013-08-14 |
| 1811245947 | Lindsay Susan Price | Social Worker | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591858 | Awakenings Psychiatric Services, PC | Psychiatry & Neurology | 1010 E North St Ste 1a, Greenville, SC 29601-3166 | 2020-02-25 |
| 1386192540 | Arc Psychiatry LLC | Psychiatry & Neurology | 96 Villa Rd, Greenville, SC 29615-3052 | 2016-09-16 |
| 1467863506 | Allison Mcdade | Psychiatry & Neurology | 2710 Sunset Strip Ste D, Greenville, TX 75402 | 2014-05-12 |
| 1457681025 | Woodlands Medical Clinic Pa | Psychiatry & Neurology | 155 Brozzini Ct, Suite E, Greenville, SC 29615-5340 | 2010-01-05 |
| 1235367822 | Elizabeth Jo Mason | Psychiatry & Neurology | 200 Patewood Dr Ste A100, Greenville, SC 29615 | 2009-06-23 |
| 1972730166 | Raza H. Sayed Md, Pa | Psychiatry & Neurology | 301east Division St, Greenville, TX 75401-4101 | 2009-06-16 |
| 1972738458 | Lance Feldman | Psychiatry & Neurology | 10 Patewood Dr, Suite 130, Greenville, SC 29615-6317 | 2009-05-27 |
| 1497989842 | The Family Wellness Center Pllc | Psychiatry & Neurology | 1025b Director Ct, Greenville, NC 27858-5996 | 2009-05-13 |
| 1699975102 | Nadyah Janine John | Psychiatry & Neurology | 905 Johns Hopkins Dr., Ecu Physicians Psychiatric Medicine, Greenville, NC 27834-7225 | 2007-07-23 |
| 1295930964 | Poinsett Psychiatric Group | Psychiatry & Neurology | 3c Cleveland Ct, Greenville, SC 29607-2414 | 2007-06-20 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on PURUSHOTHAMAN MUTHUKANAGARAJ.
| 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.