DR. SURESH VADADA (NPI# 1528065174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528065174 |
Entity Type | Individual |
Full Name | DR. SURESH VADADA |
Credential | M.D. |
Practice Address |
661 S Trimble Rd Mansfield OH 44906-3437 |
Practice Telephone | 4197740478 |
Practice Fax Number | 4197749887 |
Mailing Telephone | 4197740478 |
Mailing Fax Number | 4197749887 |
Enumeration Date | 2005-06-28 |
Last Update Date | 2012-02-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35074411V | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | GROUP MEDICARE | KI9260531 | 01 |
OH | 2072215 | 05 | |
OH | GROUP MEDICAID | 0114549 | 01 |
Street Address |
661 S TRIMBLE RD |
City | MANSFIELD |
State | OH |
Zip Code | 44906-3437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316944960 | Mohan Rao Kamadana | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2005-06-28 |
1922517861 | Lisa K Mullins | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2017-09-22 |
1417313164 | James Ritchie | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2016-01-11 |
1033407523 | Shannon Arlene Trzcinski | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2011-07-18 |
1427361765 | Sunil Akkina | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2010-07-15 |
1265765044 | Kendra Lynn Newland | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2009-09-11 |
1356565048 | Swapna Kamadana | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2007-04-12 |
1881645315 | Jackson Liu | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2006-05-12 |
1033199104 | Della Jane Lane-rice | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2006-01-17 |
1598762155 | Ravindra Pawar | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2005-06-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
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Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
1851348304 | Kidney Associates, Inc. | Internal Medicine | 661 S. Trimble Road, Mansfield, OH 44906-3437 | 2006-05-30 |
1316944960 | Mohan Rao Kamadana | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2005-06-28 |
1356565048 | Swapna Kamadana | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2007-04-12 |
1881645315 | Jackson Liu | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2006-05-12 |
1598762155 | Ravindra Pawar | Internal Medicine | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2005-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
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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.