DR. VIJAY NEELAMEGAM PREMNATH (NPI# 1285834614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285834614 |
| Entity Type | Individual |
| Full Name | DR. VIJAY NEELAMEGAM PREMNATH |
| Credential | M.D |
| Practice Address |
810 N Welo St Tioga ND 58852 |
| Practice Telephone | 7016643305 |
| Practice Fax Number | 7016643300 |
| Mailing Telephone | 7016643305 |
| Mailing Fax Number | 7016643300 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
11852 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
810 N WELO ST |
| City | TIOGA |
| State | ND |
| Zip Code | 58852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280696 | Tioga Medical Center | General Acute Care Hospital | 810 N Welo St, Tioga, ND 58852-7157 | 2006-01-25 |
| 1417503442 | Jesse Mitchell | Nurse Practitioner | 810 N Welo St, Tioga, ND 58852-7157 | 2019-08-15 |
| 1881947695 | Lorena Kay Stout | Registered Nurse | 810 N Welo St, Tioga, ND 58852-7157 | 2012-10-17 |
| 1235490269 | Jeffrey Alden Moberg Jr. | Physician Assistant | 810 N Welo St, Tioga, ND 58852-7157 | 2012-06-06 |
| 1235387739 | Andrea Keever | Occupational Therapist | 810 N Welo St, Tioga, ND 58852-7157 | 2008-09-09 |
| 1346468154 | Tioga Medical Center Pharmacy | Pharmacy | 810 N Welo St, Tioga, ND 58852-7157 | 2007-04-24 |
| 1285728378 | Tioga Medical Center Hospital | Clinic/Center | 810 N Welo St, Tioga, ND 58852-7157 | 2006-10-03 |
| 1245296078 | Tioga Medical Center | Clinic/Center | 810 N Welo St, Tioga, ND 58852-7157 | 2006-04-21 |
| 1649244617 | Tioga Medical Center | Skilled Nursing Facility | 810 N Welo St, Tioga, ND 58852-7157 | 2006-02-15 |
| 1124092333 | Tioga Medical Center | Clinic/Center | 810 N Welo St, Tioga, ND 58852-7157 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790292274 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 220 North Gilbertson Street, Tioga, ND 58852 | 2018-01-05 |
| 1821504051 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 220 N Gilbertson Street, Tioga, ND 58852 | 2017-12-26 |
| 1053581389 | Tri City Cares, Inc. | PACE Provider Organization | 220 N Gilbertson St, Tioga, ND 58852 | 2008-03-03 |
| 1689725434 | Tioga Drug Inc | Pharmacy | 106 N. Main St., Tioga, ND 58852 | 2007-01-16 |
| 1689023129 | Dr. David C Carlson D.d.s PC | Dentist | 111 Main St, B 758, Tioga, ND 58852 | 2016-06-06 |
| 1639287535 | David Charles Carlson | Dentist | 111 Main Street, Tioga, ND 58852 | 2006-08-29 |
| 1093144818 | Robert H Rotering | Pediatrics | 810 N Welo Street, Tioga, ND 58852-0159 | 2013-11-02 |
| 1144348384 | Sharon L Krieger | Chiropractor | 23 North Main, Tioga, ND 58852-0186 | 2007-03-26 |
| 1285897959 | Stewart Chiropractic Center PC | Clinic/Center | 16 Nw 2nd St, Box 640, Tioga, ND 58852-0640 | 2008-07-03 |
| 1821039249 | Corinne E. Coughlin | Physician Assistant | 710 N Welo St, Tioga, ND 58852-7117 | 2006-06-09 |
| Find all providers in zip 58852 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053365122 | Dale J Ernster | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-05-21 |
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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.