PRASAD S MATURU (NPI# 1427099654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427099654 |
| Entity Type | Individual |
| Full Name | PRASAD S MATURU |
| Credential | MD |
| Practice Address |
1040 Delaware Avenue Marion OH 43301-1814 |
| Mailing Address |
# L-3652 Columbus OH 43260-6453 |
| Practice Telephone | 7403837920 |
| Practice Fax Number | 7403837942 |
| Mailing Telephone | 7403837927 |
| Mailing Fax Number | 7403837942 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35053451M | OH | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35053451M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000118385 | 01 |
| CIGNA | 311098079037 | 01 | |
| PPO NEXT | 311098079 | 01 | |
| TRAVELERS MEDICARE | 100004717 | 01 | |
| OH | 0633470 | 05 | |
| AETNA | 643272 | 01 | |
| UHC | 2900073 | 01 |
| Street Address |
1040 DELAWARE AVENUE |
| City | MARION |
| State | OH |
| Zip Code | 43301-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649243080 | David K. Halley | Orthopaedic Surgery | 1040 Delaware Avenue, Marion, OH 43302-6416 | 2006-02-08 |
| 1770524951 | Roberto S Concepcion | Urology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-06-09 |
| 1427099670 | Kevin R Kannan | Internal Medicine | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-06-09 |
| 1700823010 | John Charles Garvin | Ophthalmology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-06-02 |
| 1164472775 | David Fitkin | Urology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-05-12 |
| 1790734119 | Joseph J Rizzo | Obstetrics & Gynecology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-05-10 |
| 1073561502 | Melissa Milligan | Physician Assistant | 1040 Delaware Avenue, Marion, OH 43302 | 2006-05-05 |
| 1053369207 | Gary D Burton | Ophthalmology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-05-04 |
| 1487612925 | Marjorie Clark | Social Worker | 1040 Delaware Avenue, Marion, OH 43302 | 2006-05-03 |
| 1801854138 | Aaron Fritz | Orthopaedic Surgery | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447218011 | Steven Lee | Pediatrics | 1040 Delaware Aveneue, Marion, OH 43301-1814 | 2006-05-03 |
| 1700827920 | Edwin Gilbert Davy | Radiology | 1040 Delaware Ave, Marion, OH 43301-1814 | 2006-06-09 |
| 1578504759 | Daniel E Ruiz | Internal Medicine | 1040 Delaware Aveneue, Marion, OH 43301-1814 | 2006-06-09 |
| 1518925072 | Walter Jonathan Friedley | Pediatrics | 1040 Delaware Aveneue, Marion, OH 43301-1814 | 2006-05-03 |
| 1972565349 | Elena Abiad Sutherland | Social Worker | 1040 Delaware Ave, Marion, OH 43301-1814 | 2006-04-03 |
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1164966909 | Blue Ridge Medical Management Corporation | Internal Medicine | 245 Medical Park Dr, Suite E, Marion, VA 24354-1100 | 2016-12-13 |
| 1437236148 | Medical Associates of Grant County, P.C. | Internal Medicine | 610 N River Dr, Marion, IN 46952-2649 | 2006-11-01 |
| 1154338564 | Daniel T Barrido Jr. | Internal Medicine | 610 N River Dr, Marion, IN 46952-2649 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779911 | Gregory B Cortese | Internal Medicine | 32800 Lorain Rd, North Ridgeville, OH 44039-3430 | 2019-03-19 |
| 1619461381 | Beth Kulow | Internal Medicine | 395 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-18 |
| 1467961078 | Gastro Office LLC | Internal Medicine | 4600 Leap Ct Ste 101, Hilliard, OH 43026-1171 | 2017-09-26 |
| 1023536687 | Specialty Medicine Care, LLC | Internal Medicine | 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 | 2017-09-05 |
| 1861925430 | Ohio Digestive and Liver Associates LLC | Internal Medicine | 503 Wooster Rd, Mount Vernon, OH 43050-1486 | 2017-04-10 |
| 1982099370 | Michael Kurin | Internal Medicine | 11100 Euclid Ave Ste 247, Cleveland, OH 44106-1716 | 2015-04-02 |
| 1396140604 | Noufal Jajeh | Internal Medicine | 930 Wapakoneta Ave, Sidney, OH 45365-1460 | 2014-10-29 |
| 1619371580 | Specialty Medicine Care, LLC | Internal Medicine | 1250 W. National Rd, Suite 700, Englewood, OH 45315 | 2014-10-21 |
| 1821417239 | Ahmad Nasr Anaizi | Internal Medicine | 1025 Refugee Rd Fl 1, Pickerington, OH 43147-9861 | 2014-04-14 |
| 1205260890 | Columbiana Gastroenterology Group Inc | Internal Medicine | 235 E State Route 14, Columbiana, OH 44408-8494 | 2013-08-30 |
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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.