SOUBRATA V RAIKAR (NPI# 1154495125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154495125 |
Entity Type | Individual |
Full Name | SOUBRATA V RAIKAR |
Credential | M.D. |
Practice Address |
1439 E 23rd St Fremont NE 68025-2433 |
Practice Telephone | 4027218895 |
Practice Fax Number | 4027216663 |
Mailing Telephone | 4027218895 |
Mailing Fax Number | 4027216663 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2011-12-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 21157 | NE | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
21157 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025199800 | 05 |
Street Address |
1439 E 23RD ST |
City | FREMONT |
State | NE |
Zip Code | 68025-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154978229 | Kristen Laura Meyer | Physical Therapy Assistant | 1439 E 23rd St, Fremont, NE 68025-2433 | 2019-08-22 |
1598112724 | Cp Physical Therapy PC | Clinic/Center | 1439 E 23rd St, Fremont, NE 68025-2433 | 2016-05-17 |
1356579478 | Rita L Fowler | Physician Assistant | 1439 E 23rd St, Fremont, NE 68025-2433 | 2009-06-26 |
1407047822 | Chris L Petersen | Physical Therapist | 1439 E 23rd St, Cp Physical Therapy, P.C., Fremont, NE 68025-2433 | 2007-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
Find all providers in zip 68025 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083717979 | Tulsidas Rameshbhai Gwalani | Pain Medicine | 656 Mowry Ave, Fremont, CA 94536-4113 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245692581 | Innovative Pain & Spine Specialists | Pain Medicine | 7121 Stephanie Ln Ste 102, Lincoln, NE 68516-5359 | 2016-03-25 |
1346709383 | Grand Island Pain Relief Center PC | Pain Medicine | 403 Lexington Cir, Grand Island, NE 68803-9728 | 2019-03-19 |
1417474602 | Momenta Pain Care, LLC | Pain Medicine | 1805 N 145th St, Omaha, NE 68154 | 2017-08-28 |
1447576293 | Piperis Interventional Pain Care PC | Pain Medicine | 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2248 | 2010-04-19 |
1013161082 | Pravardhan Rajashekar Birthi | Pain Medicine | 403 Lexington Cir, Grand Island, NE 68803-9728 | 2008-11-04 |
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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.