DR. PALANIVEL G MOORTHY (NPI# 1376564849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376564849 |
| Entity Type | Individual |
| Full Name | DR. PALANIVEL G MOORTHY |
| Credential | MD |
| Practice Address |
311 Nilles Rd Ste G Fairfield OH 45014-2636 |
| Mailing Address |
Po Box 643273 Cincinnati OH 45264-0307 |
| Practice Telephone | 5138586555 |
| Practice Fax Number | 5138586222 |
| Mailing Telephone | 5138912813 |
| Mailing Fax Number | 5137931032 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35-042652 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0408973 | 05 | |
| OH | RR MEDICARE | P00062550 | 01 |
| Street Address |
311 NILLES RD STE G |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011218 | Karl W. Jackson | Psychologist | 311 Nilles Rd, Suite D, Fairfield, OH 45014-2636 | 2005-08-24 |
| 1003917154 | Moorthy Medical Associates, LLC | Neurological Surgery | 311 Nilles Rd, Ste G, Fairfield, OH 45014-2636 | 2006-09-25 |
| 1003864752 | Rahib N Vasi | Internal Medicine | 311 Nilles Rd, Ste C, Fairfield, OH 45014-2621 | 2006-05-05 |
| 1770531436 | Dummi P Yathiraj | Internal Medicine | 311 Nilles Rd, Ste C, Fairfield, OH 45014-2621 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205945094 | Michael Leon Pogel | Psychiatry & Neurology | 2000 S Main St, Fairfield, IA 52556-9572 | 2006-08-29 |
| 1730144734 | Srinath Kadimi | Psychiatry & Neurology | 75 Kings Highway Cutoff Fl 5, Fairfield, CT 06824-5340 | 2006-04-20 |
| 1316256167 | Neurophysiologic Interpretive Medicine Pllc | Psychiatry & Neurology | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2010-09-28 |
| 1780827162 | Neurophysiologic Interpretive Specialists LLC | Psychiatry & Neurology | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2009-04-14 |
| 1245473131 | Ameer Almullahassani | Psychiatry & Neurology | 1860 Pennsylvania Ave, Suite 210, Fairfield, CA 94533-3590 | 2009-04-08 |
| 1477705382 | Thomas Barton Toothaker | Psychiatry & Neurology | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2008-10-22 |
| 1104084458 | Shahid Ur Rehman | Psychiatry & Neurology | 1860 Pennsylvania Ave, Suite 210, Fairfield, CA 94533-3590 | 2008-05-22 |
| 1699940551 | Nicholas Alfred Blondin | Psychiatry & Neurology | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2008-04-22 |
| 1093990426 | Ruby Saliha Ali | Psychiatry & Neurology | 1860 Pennsylvania Avenue, Suite 210, Fairfield, CA 94533-3550 | 2008-01-03 |
| 1841402146 | Alexander J Menze | Psychiatry & Neurology | 101 Bodin Cir, Neurology Clinic, Fairfield, CA 94535-1809 | 2007-05-07 |
| Find all providers in FAIRFIELD | ||||
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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.