SRINIVAS RAJU (NPI# 1467435867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467435867 |
| Entity Type | Individual |
| Full Name | SRINIVAS RAJU |
| Credential | M.D. |
| Practice Address |
4790 Barkley Cir Bldg A Fort Myers FL 33907-7543 |
| Mailing Address |
4790 Barkley Cir Bldg A Ft Myers FL 33907-7543 |
| Practice Telephone | 2392758882 |
| Practice Fax Number | 2399391330 |
| Mailing Telephone | 2392758882 |
| Mailing Fax Number | 2399391330 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME88683 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED HEALTHCARE | 2355139 | 01 |
| FL | AETNA | 3382646 | 01 |
| FL | CIGNA | 9738143 | 01 |
| FL | RAILROAD MEDICARE | P00065871 | 01 |
| FL | GHI | 2499135 | 01 |
| FL | BCBS | 81971 | 01 |
| FL | STAYWELL | 226912 | 01 |
| FL | AVMED | 292148 | 01 |
| FL | TRICARE | 1467435867 | 01 |
| FL | 268296600 | 05 |
| Street Address |
4790 BARKLEY CIR BLDG A |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-7543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366890006 | Brian Fritz | Nurse Practitioner | 4790 Barkley Cir, Bldg. A, Fort Myers, FL 33907-7593 | 2016-06-02 |
| 1538517602 | Adam Wayne Medlin | Nurse Practitioner | 4790 Barkley Cir, Fort Myers, FL 33907-7593 | 2016-05-31 |
| 1689048068 | Mark Ohlenkamp | Physician Assistant | 4790 Barkley Cir, Bldg. A, Fort Myers, FL 33907-7593 | 2015-11-23 |
| 1558679449 | Zachary Garner | Internal Medicine | 4790 Barkley Cir, Fort Myers, FL 33907-7593 | 2010-09-14 |
| 1487981403 | Daniel Clifton Murphy | Physician Assistant | 4790 Barkley Cir, Bldg. A, Fort Myers, FL 33907-7593 | 2009-11-12 |
| 1437482924 | Fort Myers Eye Surgery Center LLC | Clinic/Center | 4790 Barkley Cir, Building C Unit 101, Fort Myers, FL 33907-7543 | 2009-09-15 |
| 1437385077 | Bradford A Snead | Ophthalmology | 4790 Barkley Cir, Bldg C103, Fort Myers, FL 33907-7593 | 2009-06-10 |
| 1174760540 | Helen Michele Robbins | Physician Assistant | 4790 Barkley Cir, Bldg. A, Fort Myers, FL 33907-7593 | 2009-01-07 |
| 1134335375 | Julian Andres Perez Barrios | Internal Medicine | 4790 Barkley Cir, Building A, Fort Myers, FL 33907-7593 | 2007-05-15 |
| 1538202452 | Margaret Mary O'connor | Nurse Practitioner | 4790 Barkley Cir, Bldg A, Fort Myers, FL 33907-7543 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| 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 |
|---|---|---|---|---|
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| 1598258493 | Gulf Coast Health Centers Corp | Internal Medicine | 6300 Corporate Ct Unit 106, Fort Myers, FL 33919-3513 | 2018-06-14 |
| 1134612146 | Lee County Medical Institute Corp | Internal Medicine | 4531 Deleon St Unit 215, Fort Myers, FL 33907-1278 | 2018-06-13 |
| 1134590144 | Carrere Gastroenterology LLC | Internal Medicine | 16848 Fox Den, Fort Myers, FL 33908-4322 | 2015-10-16 |
| 1972891000 | Gouri Sreepati | Internal Medicine | 4790 Barkley Cir Ste A, Fort Myers, FL 33907-7593 | 2011-07-11 |
| 1528185162 | Ramesh Koka | Internal Medicine | 4790 Barkley Cir Bldg A, Fort Myers, FL 33907-7543 | 2007-03-26 |
| 1669455168 | Asif H Choudhury | Internal Medicine | 14131 Metropolis Ave, Suite 101, Fort Myers, FL 33912-4455 | 2005-11-29 |
| 1740279140 | David M Gutstein | Internal Medicine | 15621 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-10-18 |
| 1841282118 | Juan G Herrera | Internal Medicine | 13826 Bald Cypress Cir, Fort Myers, FL 33907-1839 | 2005-08-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.