DR. SUMA CHENNUBHOTLA (NPI# 1235420621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235420621 |
| Entity Type | Individual |
| Full Name | DR. SUMA CHENNUBHOTLA |
| Credential | M.D. |
| Practice Address |
651 Centre View Boulevard Crestview Hills KY 41017 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593316466 |
| Practice Fax Number | 8593447930 |
| Mailing Telephone | 8593316466 |
| Mailing Fax Number | 8593447930 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
52149 | KY | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
TP072 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
651 CENTRE VIEW BOULEVARD |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922119122 | Grant Hamilton Breazeale | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017-5423 | 2006-08-31 |
| 1104463793 | Shannon Bowen | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017-5423 | 2019-12-03 |
| 1679057731 | Carrie Briley Linville | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017-5101 | 2018-09-24 |
| 1043793607 | Lynnsey Michelle Trog | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2018-09-10 |
| 1831631498 | Jenna Ionna | Nurse Practitioner | 651 Centre View Boulevard, Crestview Hills, KY 41017-5419 | 2016-11-14 |
| 1316292329 | Mustapha El Halabi | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2012-07-16 |
| 1033485644 | Aishwarya Rushyal Shyamraj | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2012-03-28 |
| 1669678165 | Kartikkumar Jinjuvadia | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2007-06-22 |
| 1104978048 | Mazen Elyan | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017-5419 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225271026 | Allan P Lam | Internal Medicine | 425 Centre View Boulevard, Crestview Hills, KY 41017-3409 | 2009-04-09 |
| 1427095330 | Paul R Guenthner | Internal Medicine | 351 Centre View Blvd, Crestview Hills, KY 41017-3477 | 2006-05-31 |
| 1720084353 | Ross Mchenry | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2005-06-28 |
| 1730571365 | Carolyn Day | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2015-02-18 |
| 1790074078 | Samir Vermani | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2011-04-07 |
| 1700064995 | Scott Charles Leverage | Internal Medicine | 425 Centre View Blvd, Gastroenterology, Crestview Hills, KY 41017-3409 | 2008-02-10 |
| 1225216989 | Suzana Brozovic | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2008-02-05 |
| 1336350990 | Amy J Dichiara | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2007-05-25 |
| 1780714931 | Chadwick Ward Hatfield | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2007-03-06 |
| 1740394642 | Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group | Internal Medicine | 340 Thomas More Pkwy, Suite 160a, Crestview Hills, KY 41017-5100 | 2006-08-18 |
| Find all providers in CRESTVIEW HILLS | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.