ADITYA DEWANTO HENDRANI (NPI# 1295176113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176113 |
| Entity Type | Individual |
| Full Name | ADITYA DEWANTO HENDRANI |
| Credential | M.D. |
| Practice Address |
126 E Church St Ste 3100 Somerset PA 15501-2274 |
| Practice Telephone | 8144457101 |
| Practice Fax Number | 8144457688 |
| Mailing Telephone | 8144457101 |
| Mailing Fax Number | 8144457688 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD466828 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
126 E CHURCH ST STE 3100 |
| City | SOMERSET |
| State | PA |
| Zip Code | 15501-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231626 | Ebere Maxwell Ugwanyi | Internal Medicine | 126 E Church St Ste 3100, Somerset, PA 15501-2274 | 2005-11-07 |
| 1205164647 | Somerset Health Services Inc | Internal Medicine | 126 E Church St Ste 3100, Somerset, PA 15501-2274 | 2009-11-23 |
| 1770756413 | Somerset Health Services, Inc. | Internal Medicine | 126 E Church St Ste 3100, Somerset, PA 15501-2274 | 2008-04-02 |
| 1447369020 | George R Bou Samra | Internal Medicine | 126 E Church St Ste 3100, Somerset, PA 15501 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
| 1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
| 1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
| 1063643856 | Jacob Wayne Shipley | Anesthesiology | 126 E Church St Ste 2400, Somerset, PA 15501 | 2009-07-28 |
| 1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
| Find all providers in zip 15501 | ||||
| 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 |
|---|---|---|---|---|
| 1568907996 | Jennifer C Wellings | Internal Medicine | 199 Pierce St Apt 422, Somerset, NJ 08873-1249 | 2016-12-20 |
| 1043407083 | Diwata V Somera | Internal Medicine | 1543 Route 27, Suite 14, Somerset, NJ 08873 | 2007-10-03 |
| 1225257199 | Chirag Shah | Internal Medicine | 1543 Lincoln Hwy, Suite 14, Somerset, NJ 08873-4015 | 2007-04-25 |
| 1326262429 | Capitol City Cardiology, Inc. | Internal Medicine | 301 Dr. Mike Clouse Dr, Somerset, OH 43783 | 2007-04-12 |
| 1063442002 | Somerset Cardiovascular Associates, P.C. | Internal Medicine | 223 S Pleasant Ave, Suite 401, Somerset, PA 15501-2183 | 2006-07-04 |
| 1366422644 | Robert William Cameron | Internal Medicine | 349 Bogle St, Suite B, Somerset, KY 42503-2895 | 2006-01-20 |
| 1811973167 | Natarajan Thannoli | Internal Medicine | 55 Thannoli Dr, Somerset, KY 42503-2861 | 2005-12-19 |
| 1447231626 | Ebere Maxwell Ugwanyi | Internal Medicine | 126 E Church St Ste 3100, Somerset, PA 15501-2274 | 2005-11-07 |
| 1851397574 | Pratik Patel | Internal Medicine | 51 Veronica Ave, Somerset, NJ 08873-3448 | 2005-06-27 |
| 1356347066 | Jack A Stroh | Internal Medicine | 75 Veronica Ave, Suite 101, Somerset, NJ 08873-5002 | 2005-06-27 |
| Find all providers in SOMERSET | ||||
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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.