DR. PRERANA ANAND MANOHAR (NPI# 1265423651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265423651 |
Entity Type | Individual |
Full Name | DR. PRERANA ANAND MANOHAR |
Credential | M.D. |
Practice Address |
5043 Cascade Rd Se Grand Rapids MI 49546-3724 |
Practice Telephone | 6167195939 |
Practice Fax Number | 6167195933 |
Mailing Telephone | 6167195939 |
Mailing Fax Number | 6167195933 |
Enumeration Date | 2005-11-03 |
Last Update Date | 2010-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301080691 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4713480 | 05 |
Street Address |
5043 CASCADE RD SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-3724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194935387 | Heart and Wellness Institute | Specialist | 5043 Cascade Rd Se, Grand Rapids, MI 49546-3724 | 2007-05-23 |
1306855242 | Vinayak A Manohar | Internal Medicine | 5043 Cascade Rd Se, Grand Rapids, MI 49546-3724 | 2006-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
Find all providers in zip 49546 |
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 |
---|---|---|---|---|
1073836250 | Raymond Everett Fuller | Internal Medicine | 15 Andre St Se, Grand Rapids, MI 49507-3010 | 2010-03-02 |
1447299599 | Ronald Vanderlaan | Internal Medicine | 1310 E Beltline Ave Se, Ste 130, Grand Rapids, MI 49506-4303 | 2006-06-05 |
1942289798 | Michael G Dickinson | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2006-01-11 |
1952382137 | David Bryan Johnson | Internal Medicine | 638 Fulton St W, Suite B, Grand Rapids, MI 49504-6313 | 2005-11-07 |
1669984480 | Advanced Cardiac & Vascular Centers for Amputation Prevention Plc | Internal Medicine | 1525 E Beltline Ave Ne, Grand Rapids, MI 49525-4598 | 2017-11-02 |
1114389251 | Christopher Madison | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2016-03-28 |
1366804940 | Malav Parikh | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2016-03-23 |
1265849541 | Jose Mariano Tiu Tan II | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2014-07-17 |
1871919290 | Spectrum Health Primary Care Partners | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2014-03-10 |
1639591993 | Stefan Jovinge | Internal Medicine | 100 Michigan St Ne, Mc 231, Grand Rapids, MI 49503-2560 | 2014-01-06 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. PRERANA ANAND MANOHAR.
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.