SUGANTHA KRISHNAN (NPI# 1750796967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750796967 |
| Entity Type | Individual |
| Full Name | SUGANTHA KRISHNAN |
| Credential | MD |
| Practice Address |
1201 7th St Se Ste 210 Decatur AL 35601-3337 |
| Practice Telephone | 2569736175 |
| Mailing Telephone | 6145988458 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36238 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 4th Ave S, Birmingham, AL 352331723 | 2056389096 | 2056382181 |
| 325 N State of Franklin Rd, Etsu Physicians and Associates Pediatrics, Johnson City, TN 376046056 | 4234397320 | 4234397343 |
| Street Address |
1201 7TH ST SE STE 210 |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465162 | Emily Rhoades | Pediatrics | 637 E Snyder Dr, Decatur, IL 62526-4766 | 2019-09-10 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1508363128 | Life Cycle Pediatrics, LLC | Pediatrics | 428 Winn Ct Ste 100a, Decatur, GA 30030-1726 | 2018-04-10 |
| 1063956902 | Anna Bowen | Pediatrics | 128 Fairview Ave, Decatur, GA 30030-2416 | 2016-12-12 |
| 1780057042 | William Walker | Pediatrics | 1561 Blackhall Ln Se, Decatur, AL 35601-6917 | 2015-11-09 |
| 1336542240 | Eva Harris | Pediatrics | 2613 Danforth Ln, Decatur, GA 30033-2214 | 2014-10-06 |
| 1093158370 | Ruth Wessen Stefanos | Pediatrics | 609 Medical Center Dr # 2218, Decatur, TX 76234-3836 | 2013-04-17 |
| 1265772917 | William Jennings Branan Jr. | Pediatrics | 2592 River Oak Drive, Decatur, GA 30033 | 2013-02-18 |
| 1245576115 | Sharmila Shetty | Pediatrics | 446 Woodhaven Dr, Decatur, GA 30030-1650 | 2012-12-21 |
| 1356616429 | Jennifer Lynn Menon | Pediatrics | 1874 Beltline Rd Sw Ste 300, Decatur, AL 35601-5514 | 2012-03-21 |
| Find all providers in DECATUR | ||||
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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.