DR. SURESH JAGANNATH PENKAR (NPI# 1578583357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578583357 |
| Entity Type | Individual |
| Full Name | DR. SURESH JAGANNATH PENKAR |
| Credential | M.D. |
| Practice Address |
145 Kimel Park Dr Suite 300 Winston Salem NC 27103-6984 |
| Practice Telephone | 3367683212 |
| Practice Fax Number | 3367689019 |
| Mailing Telephone | 3367683212 |
| Mailing Fax Number | 3367689019 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 20678 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 1373R | 01 |
| NC | 8966745 | 05 | |
| NC | RR MEDICARE | P00184454 | 01 |
| Street Address |
145 KIMEL PARK DR SUITE 300 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447775119 | Emily Moon | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 | 2017-08-03 |
| 1972039329 | Matthew Bryant Foster | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2017-05-04 |
| 1790228278 | Emily Stone | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-12-01 |
| 1437603891 | Evan Blake Moon | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-08-15 |
| 1407309677 | Patrick James Parcell | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1518410786 | Jessica Lloyd Rothrock | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1063965234 | Benjamin Joseph Boehnlein | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1891171682 | Nicholas Dane Pulliam | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2015-08-04 |
| 1790161818 | Deborah Reece | Physician Assistant | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2015-07-31 |
| 1720466840 | Kristen Marisa Bettis | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225415870 | Lauren Elizabeth O'rourke | Anesthesiology | Anesthesiology Wake Forest Baptist Medical Ctr, Medical Center Blvd., Winston Salem, NC 27157-0001 | 2015-05-04 |
| 1942627328 | David Lee Mckinley | Anesthesiology | House Staff, Medical Center Boulevard, Winston Salem, NC 27157 | 2014-03-24 |
| 1730400193 | Brandon Williams | Anesthesiology | Medical Center B Lvd, Winston Salem, NC 27157-0001 | 2010-06-18 |
| 1124281845 | Andrea Jennings Strathman | Anesthesiology | Wake Forest Baptist Medical Center, Physician Services, Medical Center Blvd, Winston Salem, NC 27157-9428 | 2008-07-02 |
| 1811158439 | Jeffrey Edward Peacock | Anesthesiology | 50 Miller St Ste I, Winston Salem, NC 27104-4206 | 2008-06-17 |
| 1851558845 | Phillip Roy Tennant | Anesthesiology | Medical Center Blvd Department of Anesthesiology, Winston Salem, NC 27157-0001 | 2008-05-19 |
| 1255505632 | Chiyo Otaki | Anesthesiology | 4278 Sunnydell Dr, Winston Salem, NC 27106-3552 | 2008-04-17 |
| 1962685305 | Gunnar Klauss | Anesthesiology | Department of Anesthesiology Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-12-07 |
| 1811170418 | Robin Brandon Rosenbleeth | Anesthesiology | Wake Forest Universtiy Baptist Medical Center, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-12-06 |
| 1548440696 | John Newton Mcdowell | Anesthesiology | Wake Forest University Dept of Anesthesiology, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-11-06 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.