DR. SURYADUTT VENKAT


Address: 126 Prospect St Ste 202, Pawtucket, RI 02860
Phone: 4013057752

DR. SURYADUTT VENKAT (NPI# 1376700039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376700039
Entity Type Individual
Full Name DR. SURYADUTT VENKAT
Credential MD, MPH
Practice Address 126 Prospect St Ste 202
Pawtucket
RI 02860
Mailing Address 126 Prospect St Ste 202
Pawtucket
RI 02860-4429
Practice Telephone 4013057752
Practice Fax Number 4013057759
Mailing Telephone 4013057752
Mailing Fax Number 4013057759
Enumeration Date 2008-05-20
Last Update Date 2018-12-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 16034 RI Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
16034 RI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
275 Nichols Rd, Fitchburg, MA 014201919 9788788550 9786655808
64 Boyden Rd, Holden, MA 015202570 5088296765

Office Location

Street Address 126 PROSPECT ST STE 202
City PAWTUCKET
State RI
Zip Code 02860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659882504 Encompass Pediatrics, LLC. Family Medicine 126 Prospect St Ste 202, Pawtucket, RI 02860 2017-10-18
1487191367 Kayla Rose-elaine Vicino Registered Nurse 126 Prospect St Ste 202, Pawtucket, RI 02860-4429 2017-01-30
1780133520 Caitlyn White Nurse Practitioner 126 Prospect St Ste 202, Pawtucket, RI 02860-4429 2016-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972096923 Lmb Medical LLC Internal Medicine 127 School St, Pawtucket, RI 02860 2018-06-13
1215420435 Tyla Jackson Behavior Technician 70 Wood St Apt 22, Pawtucket, RI 02860 2018-06-12
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1730690488 Anthony Edwin Ramicone Physician Assistant 407 East Ave Ste 120, Pawtucket, RI 02860 2017-10-21
1669991352 Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC Clinic/Center 407 East Ave; Suite 110, Pawtucket, RI 02860 2017-09-13
1841716230 Ri Alternative Academy Management, LLC Local Education Agency (LEA) 249 Roosevelt Avenue, Pawtucket, RI 02860 2017-08-17
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1073051843 Laura Jane Amaral Counselor 750 East Ave Unit 1e, Pawtucket, RI 02860 2017-02-01
1063862027 Stephanie Shoppell Counselor 105 Bacon Street, Pawtucket, RI 02860 2016-06-20
Find all providers in zip 02860

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750930103 Integrated Psychological Services Family Medicine 333 School St Ste 109, Pawtucket, RI 02860-5335 2019-09-09
1417417734 Danielle Turnquest Family Medicine 111 Brewster St Bldg 3, Pawtucket, RI 02860-4474 2019-03-22
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1093120388 Nelson Mendes Family Medicine 381 Pawtucket Ave, Pawtucket, RI 02860-5145 2014-06-25
1316187941 Powers Family Health Family Medicine 174 Armistice Blvd Ste A1, Pawtucket, RI 02860-3269 2009-02-23
1154501708 Donya A Powers Md Family Medicine 174 Armistice Blvd Ste 1a, Pawtucket, RI 02860-3269 2007-11-13
1386757656 Cristina Pacheco Family Medicine 39 East Ave, Pawtucket, RI 02860-4003 2006-08-17
1518907302 Spectrum Family Health Inc Family Medicine 541 Newport Ave, Pawtucket, RI 02861-3624 2006-06-08
Find all providers in PAWTUCKET

Competitor

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City PAWTUCKET
Zip Code 02860

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Dataset Information

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.

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