HIMALI SHESHTRA WIJESOORIYA (NPI# 1720219926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720219926 |
| Entity Type | Individual |
| Full Name | HIMALI SHESHTRA WIJESOORIYA |
| Credential | M.D. |
| Practice Address |
640 Court Street West Branch MI 48661-0001 |
| Practice Telephone | 9893458120 |
| Practice Fax Number | 9893458129 |
| Mailing Telephone | 9893458120 |
| Mailing Fax Number | 9893458129 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 25MA10206300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 4301102341 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Route 73 N, Marlton, NJ 080534524 | 8563557120 | 8563557121 |
| 128 Route 70 Ste 1, Medford, NJ 080552371 | 6093670900 | 6092670901 |
| 158 Route 73 Ste B, Voorhees, NJ 080439539 | 8562477230 | 8562477231 |
| 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 080804005 | 8563418200 | 8563418215 |
| 315 Route 70 E, Cherry Hill, NJ 080342408 | 8563756240 | 8563756241 |
| 401 Young Ave Ste 180, Moorestown, NJ 080573139 | 8562918600 | 8562918610 |
| 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 081083642 | 8569465180 | 8569465181 |
| Street Address |
640 COURT STREET |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578083895 | Rebekah Lynn Dunn | Physician Assistant | 640 Court Street, West Branch, MI 48661 | 2017-06-27 |
| 1427304922 | Midmichigan Medical Center Gladwin | Clinic/Center | 640 Court Street, West Branch, MI 48661-0001 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972894566 | Mclaren Primary Care | Family Medicine | 1807 M-55, West Branch, MI 48661-0000 | 2011-04-29 |
| 1821319955 | Angela Marie Kerchner | Family Medicine | 185 Cedar Muscatine Rd, West Branch, IA 52358-8621 | 2010-06-11 |
| 1053414474 | Terry Alan Behrend | Family Medicine | 1807 M 55, West Branch, MI 48661 | 2006-09-07 |
| 1154335933 | Mclaren Primary Care | Family Medicine | 2110 S M 76 Ste 6, West Branch, MI 48661-8737 | 2006-07-28 |
| 1861415796 | Mclaren Primary Care | Family Medicine | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2006-07-25 |
| 1215987235 | Theodore A Bash | Family Medicine | 2331 Progress St, West Branch, MI 48661-9384 | 2006-05-11 |
| 1437137239 | Brad E Heithoff | Family Medicine | 206 Cookson Dr, West Branch, IA 52358-9632 | 2006-01-03 |
| 1205823861 | Michael E Burkley | Family Medicine | 640 Court St, West Branch, MI 48661-9390 | 2005-09-29 |
| 1689082539 | John Wilkins | Family Medicine | 611 Court St, West Branch, MI 48661-8820 | 2014-07-23 |
| 1629344288 | Central Express Clinic Pllc | Family Medicine | 611 Court St, Ste. A, West Branch, MI 48661-9390 | 2012-03-28 |
| Find all providers in WEST BRANCH | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
Please comment or provide details below to improve the information on HIMALI SHESHTRA WIJESOORIYA.
| 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.