DR. PADMA SURAPANENI (NPI# 1164603817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164603817 |
| Entity Type | Individual |
| Full Name | DR. PADMA SURAPANENI |
| Credential | M.D. |
| Practice Address |
33101 Annapolis St Wayne MI 48184-2405 |
| Practice Telephone | 7347210200 |
| Practice Fax Number | 7347212008 |
| Mailing Telephone | 7347210200 |
| Mailing Fax Number | 7347210200 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2008-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301064385 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710934658 | Padma Surapaneni | Physical Medicine & Rehabilitation | 1 Veterans Way, James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2006-05-27 |
| Street Address |
33101 ANNAPOLIS ST |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370579 | Reginald E Marsack | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-03-16 |
| 1003386996 | Nergis Jassim | Occupational Therapist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2018-12-04 |
| 1730380262 | Erma Owens | Registered Nurse | 33101 Annapolis St, Wayne, MI 48184-2405 | 2007-05-31 |
| 1548309065 | Donna La Jean Cobb | Registered Nurse | 33101 Annapolis St, Suite B, Wayne, MI 48184-2405 | 2007-02-05 |
| 1720167166 | Janice Marie Kornacki | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-11-05 |
| 1790865772 | Ernest Bart | Counselor | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-16 |
| 1396833901 | Nancy L Mcclure | Social Worker | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-10 |
| 1104913177 | Thomas Edward Haefner | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-09 |
| 1790879021 | Brenda Renee Scoggins | Social Worker | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-03 |
| 1285698159 | Brenda A Boudreaux | Social Worker | 33101 Annapolis St, Suite B, Wayne, MI 48184-2405 | 2006-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| 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 |
|---|---|---|---|---|
| 1871959932 | Karen Banner | Psychiatry & Neurology | 814 Caldwell Rd, Wayne, PA 19087-2058 | 2016-01-05 |
| 1114243805 | Anna Kravtsov | Psychiatry & Neurology | 401 Hamburg Tpke Ste 302, Wayne, NJ 07470-2139 | 2010-04-20 |
| 1205151230 | Priscilla G. Ilem, Md, Mph, LLC | Psychiatry & Neurology | 782 Alps Road, Wayne, NJ 07470-3920 | 2010-04-01 |
| 1962637280 | Preakness Medical Care, LLC | Psychiatry & Neurology | 1466 Ratzer Rd, Wayne, NJ 07470-2430 | 2009-05-17 |
| 1467698035 | David Michelson | Psychiatry & Neurology | 424 Louella Ave, Wayne, PA 19087-4816 | 2009-01-01 |
| 1538329396 | Maria G Master | Psychiatry & Neurology | 40 Hamilton Ave, Wayne, NJ 07470-3059 | 2008-06-13 |
| 1992903512 | David M Danish | Psychiatry & Neurology | 987 Old Eagle School Rd Ste 719, Wayne, PA 19087 | 2007-07-05 |
| 1053434373 | Dennis William Donnelly | Psychiatry & Neurology | 425 Homestead Rd, Wayne, PA 19087-2433 | 2007-04-10 |
| 1851477186 | Imtiazuddin M Siddiqui | Psychiatry & Neurology | 510 Hamburg Turnpike, Suite E106, Wayne, NJ 07470 | 2006-10-30 |
| 1346340593 | Sudha R N Nair | Psychiatry & Neurology | 150 Strafford Ave Ste 210, Wayne, PA 19087 | 2006-09-25 |
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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.