JAYALAKSHMI MURUGAIAN (NPI# 1215915483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215915483 |
| Entity Type | Individual |
| Full Name | JAYALAKSHMI MURUGAIAN |
| Credential | MD |
| Practice Address |
1753 W Ridgeway Ave Suite 102 Waterloo IA 50701-4544 |
| Practice Telephone | 3198335888 |
| Practice Fax Number | 3198335891 |
| Mailing Telephone | 3198335888 |
| Mailing Fax Number | 3198335891 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2012-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33699 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | 080171192 | 01 |
| IA | 1173427 | 05 | |
| IA | 1215915483 | 05 |
| Street Address |
1753 W RIDGEWAY AVE SUITE 102 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235589656 | Robin Marie Pattison | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2016-06-16 |
| 1134580657 | Nicole D Slater | Nurse Practitioner | 1753 W Ridgeway Ave, Ste 102, Waterloo, IA 50701-4544 | 2016-03-10 |
| 1912381443 | Carmen Mundt | Nurse Practitioner | 1753 W Ridgeway Ave, Ste 107, Waterloo, IA 50701-4544 | 2015-07-14 |
| 1942606868 | Robin Elizabeth Farley | Specialist/Technologist, Other | 1753 W Ridgeway Ave, Suite103b, Waterloo, IA 50701-4544 | 2014-11-05 |
| 1891039202 | Sara Nicole O'brien | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4544 | 2012-11-26 |
| 1841434313 | Rebecca L. Chittenden | Physician Assistant | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2009-04-28 |
| 1699924407 | Crystal Dawn Schrader | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 105, Waterloo, IA 50701-4544 | 2008-09-17 |
| 1811021298 | Jessica J Curcio | Naturopath | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2007-03-15 |
| 1699848481 | Cedar Valley Medical Specialists, P.C. | Durable Medical Equipment & Medical Supplies | 1753 W Ridgeway Ave, Suite104, Waterloo, IA 50701-4544 | 2006-11-17 |
| 1285722041 | Sara Beth Harnack | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4588 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1033777610 | Emily Rose Pursley | Family Medicine | Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1609434281 | Shalini Chowdavarapu | Family Medicine | Ne Ia Family Practice Center, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1669826640 | Sapna Patel | Family Medicine | 2140 Logan Ave Ste C, Waterloo, IA 50703-1002 | 2016-04-15 |
| 1174752802 | Lane A Noble | Family Medicine | 2055 Kimball Ave Ste 100, Waterloo, IA 50702-5014 | 2009-07-01 |
| 1568698389 | Michelle Sarah Craig | Family Medicine | 2710 St. Francis Drive, Suite 210, Waterloo, IA 50702-5401 | 2009-06-08 |
| 1386879724 | Lydia Mustafic | Family Medicine | 2710 Saint Francis Dr Ste 210, Waterloo, IA 50702-5664 | 2009-05-28 |
| 1386651560 | David Robert Kobliska | Family Medicine | 2710 St.francis Dr, Waterloo, IA 50702-2081 | 2006-08-01 |
| Find all providers in WATERLOO | ||||
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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.