SUKUMAR MHT PLLC (NPI# 1689939183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689939183 |
| Entity Type | Organization |
| Organization Name | SUKUMAR MHT PLLC |
| Practice Address |
2301 S Clear Creek Rd Suite 112 Killeen TX 76549-4143 |
| Practice Telephone | 2545193131 |
| Practice Fax Number | 2545193133 |
| Mailing Telephone | 2545193131 |
| Mailing Fax Number | 2545193133 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | LATHA SUKUMAR (OWNER) |
| Authorized Official Telephone | 2545193131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
J3626 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2301 S CLEAR CREEK RD SUITE 112 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536781 | Arturo Romero | Obstetrics & Gynecology | 2301 S Clear Creek Rd, Ste 208, Killeen, TX 76549-4143 | 2005-05-30 |
| 1194258251 | Elenita Benitezpenuelas | Nurse Practitioner | 2301 S Clear Creek Rd, Suite 226, Killeen, TX 76549-4143 | 2017-04-06 |
| 1891166161 | Sandra Brown | Nurse Practitioner | 2301 S Clear Creek Rd, Suite 216, Killeen, TX 76549-4143 | 2015-10-13 |
| 1356751267 | Valerie Elise Marten-ellis | Optometrist | 2301 S Clear Creek Rd, Suite 116, Killeen, TX 76549-4143 | 2014-04-30 |
| 1164763082 | Raeshel Leanne Smith | Nurse Practitioner | 2301 S Clear Creek Rd, Ste 112, Killeen, TX 76549-4143 | 2013-03-04 |
| 1902142870 | Robert H Hansen IIi | Orthopaedic Surgery | 2301 S Clear Creek Rd, Suite 204, Killeen, TX 76549-4119 | 2012-12-21 |
| 1598027880 | Ernesto Malave Md Pa | Family Medicine | 2301 S Clear Creek Rd, Suite 108, Killeen, TX 76549-4143 | 2012-06-12 |
| 1417227075 | Reba Ann Grovijohn | Physician Assistant | 2301 S Clear Creek Rd, Suite 206, Killeen, TX 76549-4143 | 2012-01-12 |
| 1154633071 | Gabriel Orlando Colon-atencio | Technician, Other | 2301 S Clear Creek Rd, Ste. 126, Killeen, TX 76549-4143 | 2010-07-08 |
| 1295058295 | Pablo Leonardo Md Pa | Internal Medicine | 2301 S Clear Creek Rd, Suite 202, Killeen, TX 76549-4143 | 2010-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1114908662 | Latha Sukumar | Internal Medicine | 2301 S Clear Creek Rd Ste 112, Killeen, TX 76549-4198 | 2005-11-10 |
| 1588645022 | Sundaram Sukumar Md Pa | Internal Medicine | 2301 S Clear Creek Rd, #112, Killeen, TX 76549-4143 | 2005-11-10 |
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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.