SUPARNA RUDRAPATNA KRISHNAIENGAR (NPI# 1225178619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225178619 |
| Entity Type | Individual |
| Full Name | SUPARNA RUDRAPATNA KRISHNAIENGAR |
| Credential | MD |
| Practice Address |
580 W 8th St Jacksonville FL 32209-6533 |
| Mailing Address |
Po Box 44008 Jacksonville FL 32231-4008 |
| Practice Telephone | 9043831022 |
| Practice Fax Number | 9042446562 |
| Mailing Telephone | 9043831022 |
| Mailing Fax Number | 9042449493 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME110927 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
ME110927 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
23181 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
580 W 8TH ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121324 | Sandeep Grover | Ophthalmology | 580 W 8th St, Ufjp Ophthalmology Dept., Jacksonville, FL 32209-6533 | 2006-02-03 |
| 1336765361 | Giuliano Marcelo Ponce Calatayu | Pharmacist | 580 W 8th St, Jacksonville, FL 32209-6533 | 2020-06-25 |
| 1366066771 | Nicholas Whiting | Optometrist | 580 W 8th St, Tower 2, 3rd Floor, Jacksonville, FL 32209 | 2020-06-01 |
| 1922535277 | Katherine Singh | Nurse Practitioner | 580 W 8th St, Jacksonville, FL 32209-6533 | 2017-05-17 |
| 1023540929 | Daniel Lewis | Student in an Organized Health Care Education/Training Program | 580 W 8th St, Suite 6005, Jacksonville, FL 32209-6533 | 2017-03-30 |
| 1417489774 | Lee Blackmon | Student in an Organized Health Care Education/Training Program | 580 W 8th St, 6th Floor, Suite 6005, Jacksonville, FL 32209-6533 | 2017-03-28 |
| 1164953691 | Rebecca Creel | Student in an Organized Health Care Education/Training Program | 580 W 8th St, 6th Floor, Suite 6005, Jacksonville, FL 32209-6533 | 2017-03-26 |
| 1033567797 | Shirley Diana Angela Alleyne | Psychiatry & Neurology | 580 W 8th St, 580 West 8th Street, Jacksonville, FL 32209-6533 | 2016-06-02 |
| 1922453042 | Hina Banday | Psychiatry & Neurology | 580 W 8th St, Tower 2 6th Floor, Suite 6005, Jacksonville, FL 32209-6533 | 2016-04-26 |
| 1912369265 | Michaela Larned Denison | Student in an Organized Health Care Education/Training Program | 580 W 8th St, Tower II, Suite 6005, Jacksonville, FL 32209-6533 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879364 | Emerald Intraoperative Neuromonitoring, LLC | Psychiatry & Neurology | 7643 Gate Pkwy # 104-983, Jacksonville, FL 32256-2893 | 2020-07-28 |
| 1497052633 | First Care Inc | Psychiatry & Neurology | 8130 Baymeadows Cir W, Suite 112, Jacksonville, FL 32256-1880 | 2011-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722928 | Lobar Medical Pa | Psychiatry & Neurology | 24044 Integrity Way, Sorrento, FL 32776-9353 | 2015-10-09 |
| 1154671022 | Arthur J. Pedregal Md Pa | Psychiatry & Neurology | 4710 N Habana Ave Ste 303, Tampa, FL 33614-7151 | 2012-09-18 |
| 1316246796 | Doctors Neurological Services of Ft Lauderdale Inc | Psychiatry & Neurology | 1452 N Us Highway 1, Suite 103, Ormond Beach, FL 32174-6638 | 2011-03-24 |
| 1326343625 | Ellen I Edgar | Psychiatry & Neurology | 26 Diplomat Pkwy, Ste Cu-3, Hallandale Beach, FL 33009-3721 | 2011-01-18 |
| 1992962161 | Sergio Levi-minzi | Psychiatry & Neurology | 805 Niemen Dr, Palm Beach Gardens, FL 33410-2161 | 2008-05-16 |
| 1184672701 | Damon R Salzman | Psychiatry & Neurology | 12596 Pines Blvd, Pembroke Pines, FL 33027-1766 | 2006-05-05 |
| 1972569291 | Edwin Nelson Peguero Rivera | Psychiatry & Neurology | 4714 N Armenia Ave Ste 202, Tampa, FL 33603-2603 | 2006-04-25 |
| 1821647769 | Neuroclinics, LLC | Psychiatry & Neurology | 9360 Sw 72nd St, Ste 205b, Miami, FL 33173 | 2019-09-04 |
| 1437688033 | Partners Neurodiagnostics LLC | Psychiatry & Neurology | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2017-06-07 |
| 1881146413 | Capernaum Medical Center for Kids Pllc | Psychiatry & Neurology | 5129 S Lakeland Dr, Suite 1 & 2, Lakeland, FL 33813-2598 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on SUPARNA RUDRAPATNA KRISHNAIENGAR.
| 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.