AJAY TRIPURANENI (NPI# 1538120969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538120969 |
| Entity Type | Individual |
| Full Name | AJAY TRIPURANENI |
| Credential | MD |
| Practice Address |
2121 Ne 139th St Ste 360 Vancouver WA 98686-2316 |
| Mailing Address |
Po Box 2077 Portland OR 97208-2077 |
| Practice Telephone | 5034137162 |
| Practice Fax Number | 3604871975 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD24630 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD60671202 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD24630 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD60671202 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD24630 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RR MEDICARE | P00172920 | 01 |
| OR | BCBS-ROSEBURG | 838334001 | 01 |
| OR | BCBS-GRANTS PASS | 844477013 | 01 |
| OR | BCBS-SPRINGFIELD | 858464003 | 01 |
| OR | 227289 | 05 | |
| OR | BCBS-MCMINNVILLE | 838366006 | 01 |
| OR | BCBS-MEDFORD | 858463003 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 Nw Mercy Dr Ste 300, Roseburg, OR 974712348 | 5416771555 | 5416772113 |
| Street Address |
2121 NE 139TH ST STE 360 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962869487 | Lisa Marie Holler | Nurse Practitioner | 2121 Ne 139th St Ste 360, Vancouver, WA 98686-2316 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| 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 |
|---|---|---|---|---|
| 1578835088 | Jay Chen M.d., P.s. | Internal Medicine | 1029 Belmont Ave E Apt 203, Seattle, WA 98102-4430 | 2012-01-30 |
| 1588910855 | Charles Cheng Huei Lin | Internal Medicine | University of Washington, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2012-07-24 |
| 1336405539 | Michael Adel Eskander | Internal Medicine | 12728 19th Ave Se Ste 200, Everett, WA 98208-6526 | 2012-04-02 |
| 1669792032 | Neal A Chatterjee | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-06-08 |
| 1407171853 | Basil Saour | Internal Medicine | 1536 N 115th St Ste 200, Seattle, WA 98133 | 2010-03-29 |
| 1225263809 | Arun Raghav Mahankali Sridhar | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2009-05-26 |
| 1861641581 | James R Kneller | Internal Medicine | 1100 Goethals Drive, Kadlec Inland Cardiology, 3rd Floor, Richland, WA 99352-3304 | 2008-09-17 |
| 1700048451 | Michele Ann Murphy Cook | Internal Medicine | 122 W 7th Ave, Ste 310, Spokane, WA 99204-2349 | 2008-06-25 |
| 1922285345 | Dardo Enrique Ferrara | Internal Medicine | 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 | 2008-01-28 |
| 1417149576 | Amrit Guptan | Internal Medicine | 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 | 2007-08-13 |
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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.