DR. RAVISHANKAR N. KOPPADA (NPI# 1265550602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265550602 |
| Entity Type | Individual |
| Full Name | DR. RAVISHANKAR N. KOPPADA |
| Credential | MD |
| Practice Address |
5955 Ponce De Leon Blvd. Coral Gables FL 33146-3723 |
| Practice Telephone | 3056611515 |
| Practice Fax Number | 3056623723 |
| Mailing Telephone | 3056611515 |
| Mailing Fax Number | 3056623723 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME96696 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
25MA08146800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
5955 PONCE DE LEON BLVD. |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989488 | Luis A. Rios | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, Coral Gables, FL 33146 | 2005-08-12 |
| 1699000844 | Mayuri P. Gothe | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2009-10-06 |
| 1669605283 | Alfredo T. Castellanos | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2009-08-30 |
| 1083857676 | Luis F. Miranda | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2009-04-12 |
| 1306089396 | Tara Danielle Harris | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2009-04-07 |
| 1619123650 | Catherine A. Love | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2008-08-11 |
| 1649432667 | Jorge N. Hernandez | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2008-07-01 |
| 1750543260 | Maria Miraz | Obstetrics & Gynecology | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2008-06-26 |
| 1386804169 | Sharie C. Lockhart | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2008-06-14 |
| 1003075177 | Renu R Ravi | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720382054 | Ricardo A Queiro | Pediatrics | 1421 Sorolla Ave, Coral Gables, FL 33134-3519 | 2010-12-30 |
| 1104107234 | Kristie Marye Rodriguez Otero | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2011-09-02 |
| 1912158437 | Barbara L. Zen | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2008-10-02 |
| 1649432667 | Jorge N. Hernandez | Pediatrics | 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 | 2008-07-01 |
| 1669670543 | Ectis A Velazquez | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2007-07-03 |
| 1629270574 | Zaira N. Garcia-corujo | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2007-06-04 |
| 1538361894 | Luis A Eguiguren-leon | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2007-05-31 |
| 1396946091 | Donna Amelia Watson-plummer | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2007-05-30 |
| 1598987109 | Aileen M Garcia | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2007-05-03 |
| 1194854034 | Emergency Pediatric Services, Pa | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2007-03-05 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
Please comment or provide details below to improve the information on DR. RAVISHANKAR N. KOPPADA.
| 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.