ASITHA DINETH LIBBEY JAYAWARDENA


Address: 2525 Chicago Ave, Minneapolis, MN 55404-4518
Phone: 6128741292

ASITHA DINETH LIBBEY JAYAWARDENA (NPI# 1689093460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689093460
Entity Type Individual
Full Name ASITHA DINETH LIBBEY JAYAWARDENA
Credential MD, MPH
Practice Address 2525 Chicago Ave
Minneapolis
MN 55404-4518
Practice Telephone 6128741292
Practice Fax Number 6128136889
Mailing Telephone 6128741292
Mailing Fax Number 6128136889
Enumeration Date 2014-04-09
Last Update Date 2020-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
NA MN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
7209 Medical Center East South Tower, 1215 21st Avenue South, Nashville, TN 372328605 6153436972

Office Location

Street Address 2525 CHICAGO AVE
City MINNEAPOLIS
State MN
Zip Code 55404-4518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083611511 William Francis Pomputius IIi Pediatrics 2525 Chicago Ave, Mailstop 17-318, Minneapolis, MN 55404-4518 2005-06-30
1174124259 Anna-wesleigh Riggs Akins Registered Nurse 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-11-04
1255930202 Gershom Aaron Tam Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-10-21
1275140477 Jessica Bloom Nurse Anesthetist, Certified Registered 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-09-30
1538775762 Ahmed Elazab Pharmacist 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-09-22
1275149957 Jennifer Siegmann Nurse Anesthetist, Certified Registered 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-09-18
1710592530 Mildred Denise Kiawoin Registered Nurse 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-09-09
1992310700 Coltyn Tyler Johnson Nurse Anesthetist, Certified Registered 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-09-09
1619581394 Children's Health Care Ambulance 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-09-01
1447861067 Charlotte Minnema Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
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Taxonomy Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548264435 Timothy Alan Lander Otolaryngology 910 E 26th St, Ste 323, Minneapolis, MN 55404-4549 2005-06-08
1295026540 Courtney Anne Hill Otolaryngology 2211 Park Ave, Minneapolis, MN 55404-3711 2011-04-20
1669556668 Pediatric Ent Associates Otolaryngology 910 E 26th St, Suite 323, Minneapolis, MN 55404-4526 2006-10-25
1003818824 Richard M. Levinson Otolaryngology 2211 Park Ave, Minneapolis, MN 55404-3711 2005-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780942243 Angela Vong Otolaryngology 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125 2012-05-02
1013953371 Richard G Karlen Otolaryngology 2080 Woodwinds Drive, #240, Woodbury, MN 55125 2006-06-22

Competitor

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City MINNEAPOLIS
Zip Code 55404

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Dataset Information

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.

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