DR. SANDEEPA MUSUNURU (NPI# 1710942917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710942917 |
| Entity Type | Individual |
| Full Name | DR. SANDEEPA MUSUNURU |
| Credential | M.D. |
| Practice Address |
2405 W Missouri Ave Midland TX 79701-6800 |
| Practice Telephone | 4326971061 |
| Practice Fax Number | 4326977089 |
| Mailing Telephone | 4326971061 |
| Mailing Fax Number | 4326977089 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | P0260 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
P0260 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 286298901 | 05 | |
| TX | BLUE CROSS | 8CW789 | 01 |
| TX | MEDICARE | TXB140254 | 01 |
| Street Address |
2405 W MISSOURI AVE |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023414216 | Midland Plastic Surgery Center, P. A. | Plastic Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2014-11-14 |
| 1760741359 | Timothy Gutierrez | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2012-05-16 |
| 1043599798 | Parker Allen Bassett | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2011-08-12 |
| 1942528138 | Marshall D Early | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2010-05-12 |
| 1912101361 | Russell Van Husen | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2007-06-11 |
| 1942414982 | Daniel R Copeland | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2007-05-09 |
| 1760527139 | Permian Cardiology Associates | Internal Medicine | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2007-02-21 |
| 1477698108 | Bart R Mayron | Internal Medicine | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2007-02-20 |
| 1790831493 | Karen Ward | Nurse Practitioner | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2007-01-26 |
| 1356452668 | Midland Surgical Associates, P.a. | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659615789 | Dennis Robert Vandorp Jr. | Surgery | 4201 Campus Ridge Dr Ste 2000, Midland, MI 48640 | 2012-11-15 |
| 1497047708 | Guillermo E Brachetta Md Pa | Surgery | 2300 W Michigan Ave Ste 1, Midland, TX 79701-5855 | 2011-05-04 |
| 1588857874 | John William Mathewson | Surgery | 5615 Deauville Ste 220, Midland, TX 79706-2707 | 2007-08-21 |
| 1336282664 | Guillermo Eduardo Brachetta | Surgery | 2300 Michigan Ave, Suite #1, Midland, TX 79701 | 2007-02-15 |
| 1265572135 | Melwyn J Sequeira | Surgery | 4201 Campus Ridge, Midland, MI 48640 | 2007-02-08 |
| 1255429395 | Sriramamurthy Subbaraman | Surgery | 4214 Andrews Hwy Ste 208, Midland, TX 79703-4868 | 2006-10-11 |
| 1689662926 | Midland Surgical Group PC | Surgery | 4007 Orchard Dr, Suite 2003, Midland, MI 48640-6187 | 2005-10-11 |
| 1144839689 | Urgent Orthopedic Pa Affiliates, Pllc | Surgery | 4304 Andrews Hwy, Midland, TX 79703-4824 | 2020-07-30 |
| 1760741359 | Timothy Gutierrez | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2012-05-16 |
| 1043599798 | Parker Allen Bassett | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2011-08-12 |
| Find all providers in MIDLAND | ||||
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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.