DR. GANESH SHANMUGAM (NPI# 1215148200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215148200 |
Entity Type | Individual |
Full Name | DR. GANESH SHANMUGAM |
Credential | MD |
Practice Address |
1602 Rock Prairie Rd Suite 270 College Station TX 77845-8306 |
Practice Telephone | 9797036112 |
Practice Fax Number | 9797036649 |
Mailing Telephone | 9797036112 |
Mailing Fax Number | 9797036649 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2014-06-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | M6388 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 3201428 | 05 |
Street Address |
1602 ROCK PRAIRIE RD SUITE 270 |
City | COLLEGE STATION |
State | TX |
Zip Code | 77845-8306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
1104392505 | Elizabeth Jane Riley | Nurse Practitioner | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2018-10-23 |
1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
1508226234 | A.shanmugam M.d | Internal Medicine | 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845-8306 | 2016-02-23 |
1851735849 | Caitlin Sears | Physician Assistant | 1602 Rock Prairie Rd, Suite 3400, College Station, TX 77845-8306 | 2013-04-22 |
1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
1770844664 | Bryan College Station Prosthetics Inc | Prosthetic/Orthotic Supplier | 1602 Rock Prairie Rd, Suite 150, College Station, TX 77845-8306 | 2012-06-06 |
1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
1598090599 | Iyabode Ogunlade, Md Pa | Specialist | 1602 Rock Prairie Rd, Ste 3000, College Station, TX 77845-8306 | 2009-10-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
Find all providers in zip 77845 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
1619939527 | David Randolph Weldon | Allergy & Immunology | 800 Scott and White Dr, College Station, TX 77845-6440 | 2006-04-05 |
1285625699 | Barry R Paull | Allergy & Immunology | 3306 Longmire Dr, College Station, TX 77845-5812 | 2005-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689290116 | Bellaire Allergy & Asthma Pllc | Allergy & Immunology | 6750 West Loop S Ste 460, Bellaire, TX 77401-4108 | 2020-06-20 |
1437705290 | Pooja Paranjpe Md | Allergy & Immunology | 7150 N George Bush Hwy Ste 204, Garland, TX 75044-2210 | 2019-08-16 |
1235798109 | Maryam Saifi, Pllc | Allergy & Immunology | 4001 Barnett Dr, Plano, TX 75024-3421 | 2019-06-13 |
1891259016 | Allergy Partners of Texas, Inc | Allergy & Immunology | 3410 Far West Blvd Ste 146, Austin, TX 78731-3167 | 2019-01-23 |
1962997650 | Chelsea Lynn Russell | Allergy & Immunology | 540 Madison Oak Dr Ste 210, San Antonio, TX 78258-3920 | 2018-06-26 |
1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
1720468416 | Ania K George Md Pa | Allergy & Immunology | 26400 Kuykendahl Rd Ste C220, The Woodlands, TX 77375 | 2015-06-08 |
1407234347 | Savannah Leigh Sommerhalder | Allergy & Immunology | 4801 Woodway Dr Ste 120e, Houston, TX 77056-1872 | 2015-05-12 |
1093106874 | Allergy Partners of Texas, Inc. | Allergy & Immunology | 7777 Forest Ln Ste B332, Dallas, TX 75230-6822 | 2015-02-14 |
1689085854 | South Texas Allergy & Asthma Medical Professionals Pllc | Allergy & Immunology | 10447 Hwy 151, San Antonio, TX 78251-4551 | 2014-05-09 |
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City | COLLEGE STATION |
Zip Code | 77845 |
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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.