SURESH A KONESWARAN (NPI# 1245413673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245413673 |
| Entity Type | Individual |
| Full Name | SURESH A KONESWARAN |
| Credential | M.D. |
| Practice Address |
518 S Van Buren Rd Suite 3 Eden NC 27288-5033 |
| Practice Telephone | 3366237881 |
| Practice Fax Number | 3366235457 |
| Mailing Telephone | 3366237881 |
| Mailing Fax Number | 3366235457 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2014-00260 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 200957430 | 05 |
| Street Address |
518 S VAN BUREN RD SUITE 3 |
| City | EDEN |
| State | NC |
| Zip Code | 27288-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514327 | Mark William Roy | Neurological Surgery | 518 S Van Buren Rd, Suite 6, Eden, NC 27288-5033 | 2005-11-04 |
| 1083080147 | Rockingham County Healthcare Alliance | Family Medicine | 518 S Van Buren Rd, Suite 1, Eden, NC 27288-5033 | 2015-08-12 |
| 1992110076 | Forsyth Medical Group, LLC | Internal Medicine | 518 S Van Buren Rd, Suite 5, Eden, NC 27288-5033 | 2014-06-26 |
| 1083053011 | Betty J Marshall | Nurse Practitioner | 518 S Van Buren Rd, Ste 2, Eden, NC 27288-5033 | 2013-06-24 |
| 1801143763 | Morehead Memorial Hospital | Pain Medicine | 518 S Van Buren Rd, Suite 2, Eden, NC 27288-5033 | 2012-08-10 |
| 1578840294 | Morehead Memorial Hospital | Neurological Surgery | 518 S Van Buren Rd, Suite 6, Eden, NC 27288-5033 | 2011-11-09 |
| 1760797294 | Morehead Memorial Hospital | Family Medicine | 518 S Van Buren Rd, Suite 9, Eden, NC 27288-5033 | 2010-08-09 |
| 1669797379 | Morehead Memorial Hospital | Otolaryngology | 518 S Van Buren Rd, Suite 8, Eden, NC 27288-5033 | 2010-04-06 |
| 1245494335 | Mary Ann Allen | Audiologist | 518 S Van Buren Rd, Suite 8, Eden, NC 27288-5033 | 2008-07-17 |
| 1851596860 | Morehead Memorial Hospital | Psychiatry & Neurology | 518 S Van Buren Rd, Suite 2, Eden, NC 27288-5033 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1992110076 | Forsyth Medical Group, LLC | Internal Medicine | 518 S Van Buren Rd, Suite 5, Eden, NC 27288-5033 | 2014-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
| 1619467529 | Clerio Francisco De Azevedo Filho | Internal Medicine | 10 Medicine Circle - Duke Medical Pavilion Room 1e50, Durham, NC 27710-0001 | 2018-05-16 |
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
| 1225563463 | Benjamin Mcginty Chilcutt | Internal Medicine | 300 Meadowmont Village Cir Ste 104, Chapel Hill, NC 27517-7518 | 2017-04-25 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1982069928 | Four Jewels Healthways | Internal Medicine | 320 Lillington Ave Ste 201, Charlotte, NC 28204-3189 | 2015-12-17 |
| 1932505294 | Donald Frederick Fortin | Internal Medicine | 14001 Weston Pkwy, Suite 101, Cary, NC 27513-2255 | 2014-11-14 |
| 1538564232 | Forsyth Memorial Hospital, Inc | Internal Medicine | 694 Riverside Drive, Mt. Airy, NC 27030-3117 | 2014-10-24 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
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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.