DR. SUPPIRAMANIAM SREEHARIKESAN (NPI# 1386870954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386870954 |
| Entity Type | Individual |
| Full Name | DR. SUPPIRAMANIAM SREEHARIKESAN |
| Other Name | SREE KESAN |
| Credential | MD |
| Practice Address |
2000 Mon Health Medical Park Dr Ste 2300 Morgantown WV 26505-1134 |
| Practice Telephone | 3045998802 |
| Practice Fax Number | 3045995607 |
| Mailing Telephone | 3045998802 |
| Mailing Fax Number | 3045995607 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD439364 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD439364 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1386870954 | 05 | |
| PA | 10243482 | 05 | |
| PA | BLUE SHIELD | 2155253 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1325 Locust Ave # 32, Fairmont, WV 265541435 | 3043636210 | 3043630952 |
| 150 Memorial Dr, Kingwood, WV 265371141 | 3043294701 | 3043294716 |
| 501 Railroad Avenue, Elkins, WV 26241 | 3046365006 | 3046364898 |
| 24441 Garrett Hwy, Mc Henry, MD 215411311 | 3045998802 | 3045995607 |
| Street Address |
2000 MON HEALTH MEDICAL PARK DR STE 2300 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757037 | Wissam Gharib | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2006-08-16 |
| 1215553219 | Aaron Fetty | Registered Nurse | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1168 | 2020-06-25 |
| 1235771163 | Ashley Vanscyoc | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1168 | 2019-10-11 |
| 1942786322 | Channing A Ash | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2018-07-18 |
| 1255842308 | Douglas Kendal Russell | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-10-17 |
| 1932619939 | Kayla N Strimel | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1168 | 2017-10-04 |
| 1336659465 | Brooke Janine Key | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-10-03 |
| 1073030573 | Alexis Cox | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-08-25 |
| 1659628972 | Lisa Mae Henry | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2012-08-06 |
| 1679898290 | Samantha Jane Crites | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505 | 2010-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1174602924 | Robert Warren Hull | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972549814 | Muhammad Amer | Internal Medicine | 3100 Maccorkle Ave Se Ste 900, Charleston, WV 25304-1223 | 2006-06-21 |
| 1700051380 | Kevin A Driver | Internal Medicine | 3100 Maccorkle Ave Se Ste 900, Charleston, WV 25304 | 2008-04-24 |
| 1598939027 | Tania B. Babar | Internal Medicine | 3100 Maccorkle Ave Se Ste 900, Charleston, WV 25304-1223 | 2008-04-16 |
| 1487602538 | Ronald Jay Haberman | Internal Medicine | 5170 Us Route 60, Huntington, WV 25705-2004 | 2006-05-04 |
| 1699766931 | George K Joseph | Internal Medicine | 5170 Us Rt 60 East, Huntington, WV 25705 | 2005-11-04 |
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on DR. SUPPIRAMANIAM SREEHARIKESAN.
| 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.