DR. SUDHA R RAVOORI (NPI# 1700824224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700824224 |
| Entity Type | Individual |
| Full Name | DR. SUDHA R RAVOORI |
| Credential | M.D. |
| Practice Address |
110 Edgewater Trl Canton GA 30115-1811 |
| Practice Telephone | 7704791417 |
| Practice Fax Number | 2082751349 |
| Mailing Telephone | 7704791417 |
| Mailing Fax Number | 2082751349 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 00025176 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS PHYSICIAN BASE | 51532371 | 01 |
| AK | BLUE CROSS HOSPITAL BASED | 51002923 | 01 |
| Street Address |
110 EDGEWATER TRL |
| City | CANTON |
| State | GA |
| Zip Code | 30115-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1912315250 | Citadel Anesthesiology, LLC | Anesthesiology | 718 Silver Mist Way, Canton, GA 30114-8832 | 2014-07-30 |
| 1578704680 | John Killebrew Perry Jr. | Anesthesiology | 161 River Oaks Drive, Madison River Oaks Medical Center, Canton, MS 39046 | 2009-03-19 |
| 1669422747 | Kristi L Pielstick | Anesthesiology | 4665 Douglas Cir Nw, Suite 101, Canton, OH 44718-3673 | 2006-05-11 |
| 1427483403 | United Pain Therapies Pllc | Anesthesiology | 6200 N Haggerty Rd, Canton, MI 48187-3605 | 2013-09-09 |
| 1124361720 | Michael John O'brien | Anesthesiology | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2013-04-02 |
| 1770859761 | Elliot Michael Kay | Anesthesiology | 2600 6th St Sw, Canton, OH 44710-1702 | 2012-03-24 |
| 1417270885 | Anesthesiologists D.o., Inc | Anesthesiology | 4665 Douglas Cir Nw, Suite 101, Canton, OH 44718-3673 | 2010-03-12 |
| 1407178890 | Anesthesia Connections-ohio, LLC | Anesthesiology | 5000 Higbee Ave Nw, Canton, OH 44718-2522 | 2010-02-25 |
| 1942434592 | Southeastern Michigan Anesthesia | Anesthesiology | 42680 Ford Rd, Canton, MI 48187 | 2009-05-12 |
| 1568655132 | Madison Hma Physician Management, Inc.-crnas | Anesthesiology | 1421 E Peace St, Canton, MS 39046-4938 | 2007-08-27 |
| Find all providers in CANTON | ||||
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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.