SUMANA NAGAVALLI (NPI# 1104162361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104162361 |
| Entity Type | Individual |
| Full Name | SUMANA NAGAVALLI |
| Credential | PA |
| Practice Address |
899 Poplar Church Rd Camp Hill PA 17011-2206 |
| Practice Telephone | 7177633043 |
| Mailing Telephone | 7177630430 |
| Mailing Fax Number | 7177639854 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060233 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-03900 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | MA060233 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Patewood Dr, Suite 200, Greenville, SC 296153593 | 8642327338 | 8642396645 |
| Street Address |
899 POPLAR CHURCH RD |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295201 | Digestive Disease Institute Inc. | Clinic/Center | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2005-06-14 |
| 1629489182 | Khushpreet Cheema | Physician Assistant | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2014-05-17 |
| 1154568723 | Jeanne Pastor | Nurse Practitioner | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2009-01-19 |
| 1366620932 | Ann E Myers | Nurse Anesthetist, Certified Registered | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2008-02-06 |
| 1215014790 | Purvi Champak Panchal | Internal Medicine | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-11-01 |
| 1588774509 | Brian E Rogers | Registered Nurse | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-08-30 |
| 1972528487 | Brian David Guise | Nurse Anesthetist, Certified Registered | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-07-13 |
| 1801846043 | Mohan R Rengen | Internal Medicine | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-05-10 |
| 1750330783 | Enteron, Inc | Specialist | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-05-08 |
| 1023075454 | Pennsylvania Gastroenterology Consultants, PC | Internal Medicine | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215417043 | Grant A Meckley | Physician Assistant | 100 Corporate Center Dr Ste 100, Camp Hill, PA 17011-1758 | 2018-08-21 |
| 1851388839 | Julia S Deputy | Physician Assistant | 897 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2005-10-04 |
| 1184109837 | Margaret Elizabeth Hornbake | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2018-09-28 |
| 1649770918 | Rachael Marie Rock | Physician Assistant | 875 Poplar Church Rd, Camp Hill, PA 17011-2203 | 2018-02-13 |
| 1245777192 | Leah Anne Reitzi | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2017-01-30 |
| 1255700845 | Molly Zielen | Physician Assistant | 890 Poplar Church Rd, Suite 508, Camp Hill, PA 17011-2250 | 2015-09-24 |
| 1003217100 | Heather Bowman | Physician Assistant | 101 Erford Rd, Camp Hill, PA 17011-1802 | 2014-09-08 |
| 1679903611 | Elizabeth Mary Smith | Physician Assistant | 3912 Trindle Rd, Camp Hill, PA 17011-4246 | 2013-11-12 |
| 1760770697 | Emily Grace Hahn | Physician Assistant | 3025 Market St, Camp Hill, PA 17011-4518 | 2011-07-12 |
| 1689855959 | Mona Patel | Physician Assistant | 3912 Trindle Rd, Camp Hill, PA 17011-4246 | 2007-11-15 |
| Find all providers in CAMP HILL | ||||
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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.