DR. AIYANADAR SHANMUGAM (NPI# 1386659811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386659811 |
| Entity Type | Individual |
| Full Name | DR. AIYANADAR SHANMUGAM |
| Credential | M.D F.A.C.E, F.A.C.E |
| Practice Address |
1602 Rock Prairie Rd Suite 210 College Station TX 77845-8306 |
| Practice Telephone | 9796965663 |
| Practice Fax Number | 9796931274 |
| Mailing Telephone | 9796965663 |
| Mailing Fax Number | 9796931274 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 74-2273494 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 00AQ85 | 01 |
| TX | 110539701 | 05 |
| Street Address |
1602 ROCK PRAIRIE RD SUITE 210 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
| 1104392505 | Elizabeth Jane Riley | Nurse Practitioner | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2018-10-23 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1508226234 | A.shanmugam M.d | Internal Medicine | 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845-8306 | 2016-02-23 |
| 1851735849 | Caitlin Sears | Physician Assistant | 1602 Rock Prairie Rd, Suite 3400, College Station, TX 77845-8306 | 2013-04-22 |
| 1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
| 1770844664 | Bryan College Station Prosthetics Inc | Prosthetic/Orthotic Supplier | 1602 Rock Prairie Rd, Suite 150, College Station, TX 77845-8306 | 2012-06-06 |
| 1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
| 1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
| 1598090599 | Iyabode Ogunlade, Md Pa | Specialist | 1602 Rock Prairie Rd, Ste 3000, College Station, TX 77845-8306 | 2009-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013046804 | Devon Dublin Morgan | Specialist | 2906 Cain Rd, College Station, TX 77845-6224 | 2007-03-05 |
| 1558315739 | Thomas A Salzer | Specialist | 2805 Earl Rudder Fwy S, College Station, TX 77845-6080 | 2006-05-20 |
| 1427000496 | Marcel E Lechin | Specialist | 1721 Birmingham Dr, College Station, TX 77845-4082 | 2006-05-17 |
| 1508859133 | Allergy Associates of Brazos Valley | Specialist | 3306 Longmire Dr, College Station, TX 77845-5812 | 2005-08-30 |
| 1043211394 | Craig K Steiner | Specialist | 1604 Rock Prairie Rd, College Station, TX 77845-8395 | 2005-08-09 |
| 1922468388 | Riley Hoistad | Specialist | 1228 Tamu, College Station, TX 77843-0001 | 2016-02-29 |
| 1144615766 | Kathy Rivera, Md. Center of Wellness, Pllc. | Specialist | 3550 Normand Dr, College Station, TX 77845-6399 | 2015-03-31 |
| 1639587173 | Jason M. Boley, Md., Pllc. | Specialist | 3550 Normand Drive, College Station, TX 77845 | 2014-07-29 |
| 1871919753 | Central Texas Sinus & Allergy, Pllc. | Specialist | 2805 Earl Rudder Fwy S, College Station, TX 77845-6080 | 2014-03-14 |
| 1013214238 | Rocky D. Bilhartz, M.d., P.a. | Specialist | 1721 Birmingham Dr, College Station, TX 77845-4082 | 2011-02-24 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on DR. AIYANADAR SHANMUGAM.
| 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.