DR. SUPRASAD M RAO (NPI# 1467490631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467490631 |
| Entity Type | Individual |
| Full Name | DR. SUPRASAD M RAO |
| Credential | MD |
| Practice Address |
710 Birchwood Ave Ste. 201 Bellingham WA 98225-1720 |
| Mailing Address |
808 S Silverwood Rd Muncie IN 47304-4073 |
| Practice Telephone | 3607886870 |
| Practice Fax Number | 3607886872 |
| Mailing Telephone | 5058071508 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD60148208 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01061494A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200821450 | 05 |
| Street Address |
710 BIRCHWOOD AVE STE. 201 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144291436 | Michael Scott Lawrence | Neurological Surgery | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2006-01-27 |
| 1275938102 | Fourth Corner Neurosurgical Associates Inc Ps | Clinic/Center | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2014-11-04 |
| 1942466719 | Conor Joseph Sheehy | Psychiatry & Neurology | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2008-07-31 |
| 1477719227 | John Robertson Jefferson | Psychiatry & Neurology | 710 Birchwood Ave, Bellingham, WA 98225-1720 | 2008-07-31 |
| 1235321183 | Hendrik S Kok | Physician Assistant | 710 Birchwood Ave, #101, Bellingham, WA 98225-1720 | 2007-08-14 |
| 1831381219 | Seema Afridi | Pediatrics | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2007-08-09 |
| 1417154113 | Taas Naka Worley King | Psychiatry & Neurology | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2007-06-27 |
| 1902020738 | Tung Mai Ha | Neurological Surgery | 710 Birchwood Ave, Ste 101, Bellingham, WA 98225-1720 | 2007-04-12 |
| 1699846386 | Fourth Corner Neurosurgical Associates Inc Ps | Specialist | 710 Birchwood Ave, #101, Bellingham, WA 98225-1720 | 2006-11-13 |
| 1902837180 | Bruce Cole Mackay | Psychiatry & Neurology | 710 Birchwood Ave, Suite 203, Bellingham, WA 98225-1857 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972822658 | Laura Ellen Koehn | Psychiatry & Neurology | 710 Birchwood, Suite 201, Neurology Associates, Bellingham, WA 98225 | 2010-05-20 |
| 1396061339 | Todd Michael Raleigh | Psychiatry & Neurology | 2075 Barkley Blvd Ste 222, Bellingham, WA 98226-6614 | 2010-04-15 |
| 1760475834 | Allan S Troupin | Psychiatry & Neurology | 2139 Wildflower Way, Bellingham, WA 98229-5366 | 2005-08-24 |
| 1942466719 | Conor Joseph Sheehy | Psychiatry & Neurology | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2008-07-31 |
| 1477719227 | John Robertson Jefferson | Psychiatry & Neurology | 710 Birchwood Ave, Bellingham, WA 98225-1720 | 2008-07-31 |
| 1417154113 | Taas Naka Worley King | Psychiatry & Neurology | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2007-06-27 |
| 1790844660 | Carolyn Larkin Taylor | Psychiatry & Neurology | 11 Bellwether Way, Suite 210, Bellingham, WA 98225-2957 | 2006-12-07 |
| 1063426146 | Zachary Alan Webb | Psychiatry & Neurology | 1345 King St, Bellingham, WA 98229-6223 | 2006-07-27 |
| 1902837180 | Bruce Cole Mackay | Psychiatry & Neurology | 710 Birchwood Ave, Suite 203, Bellingham, WA 98225-1857 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1760024632 | Ethan Budd Russo | Psychiatry & Neurology | 20402 81st Avenue Sw, Vashon, WA 98070-6253 | 2019-10-12 |
| 1730683053 | Selkirk Neurology Pllc | Psychiatry & Neurology | 610 S Sherman St Ste 201, Spokane, WA 99202-1342 | 2018-03-21 |
| 1881116341 | William Russell Schmidt | Psychiatry & Neurology | 12207 243rd Pl Ne, Redmond, WA 98053-5685 | 2017-07-16 |
| 1568872281 | Marie-sarah Gagne Brosseau | Psychiatry & Neurology | 1536 N 115th Street, Suite 130, Seattle, WA 98133 | 2014-05-02 |
| 1972920049 | Anusha Mannava | Psychiatry & Neurology | 1100 Goethals Dr Ste D, Richland, WA 99352 | 2014-03-26 |
| 1275954646 | George Delyanis | Psychiatry & Neurology | 1220 Ventura Dr, Tacoma, WA 98465-1240 | 2014-01-02 |
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1124361993 | Malveeka Sharma | Psychiatry & Neurology | 325 9th Ave Rm 3ct70, Seattle, WA 98104 | 2013-03-31 |
| 1124367776 | Tilahun Haile Abraha | Psychiatry & Neurology | 317 Nine Bark St Nw, Olympia, WA 98502-8709 | 2013-02-01 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.