PHANI SURAPANENI (NPI# 1831452895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831452895 |
| Entity Type | Individual |
| Full Name | PHANI SURAPANENI |
| Credential | M.D. |
| Practice Address |
801 5th St Sioux City IA 51101-1326 |
| Practice Telephone | 7122947020 |
| Mailing Telephone | 7122947020 |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
46132 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
801 5TH ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51101-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285774 | Gary Lewis | Social Worker | 801 5th St, Sioux City, IA 51101-1394 | 2005-06-16 |
| 1275133027 | Bonnie Ivadell Ryan | Registered Nurse | 801 5th St, Sioux City, IA 51101-1326 | 2020-10-30 |
| 1720695224 | Justin Hargrave | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-29 |
| 1619583010 | Michael Dennis Quinlivan | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-21 |
| 1740890102 | Rocky Mountain Holdings, LLC | Ambulance | 801 5th St, Sioux City, IA 51101-1326 | 2020-07-31 |
| 1821618695 | Abbie Jo Ostrihonsky | Registered Nurse | 801 5th St, Sioux City, IA 51101-1326 | 2020-04-22 |
| 1104459924 | Amanda Ball | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-02-20 |
| 1528608528 | Jennifer Lucart | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-01-08 |
| 1639717275 | Kiel Grant | Pharmacist | 801 5th St, Sioux City, IA 51101-1326 | 2019-12-13 |
| 1831731231 | Rebecca Suzanne Mathine | Physical Therapist | 801 5th St, Sioux City, IA 51101-1326 | 2019-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434691 | Dorcas Wambui Kamau | Nurse Practitioner | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-11 |
| 1346763554 | Mercy Health Services - Iowa Corp | Skilled Nursing Facility | 801 5th St Fl 7, Sioux City, IA 51101 | 2017-07-19 |
| 1821427287 | Jason Leigh Wagner | Counselor | 505 5th St., Suite 520, Sioux City, IA 51101 | 2013-11-06 |
| 1124354352 | Carol Madsen Watchorn | Social Worker | Nseling Practice, 915 Pierce St, Sioux City, IA 51101 | 2009-10-22 |
| 1710024542 | Woodbury County, Iowa | Case Management | 620 Douglas, Rm B5, Sioux City, IA 51101 | 2007-01-31 |
| 1891863668 | Vivian Lea Miller | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101 | 2006-12-01 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1073009486 | Carly Alyssa Turner | Social Worker | 625 Court St, Sioux City, IA 51101 | 2018-07-09 |
| 1114419009 | Ryan Rudloff | Optometrist | 431 Pierce St, Sioux City, IA 51101 | 2018-06-05 |
| 1316435324 | Nitausha Ann Williams | Social Worker | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-25 |
| Find all providers in zip 51101 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1720201502 | Shannon H Hoos Thompson | Internal Medicine | Unity Point Health St. Lukes, 5885 Sunnybrook Dr. Ste L-200, Sioux City, IA 51106-4251 | 2007-04-10 |
| 1043284094 | Cardiovascular Associates PC | Internal Medicine | 5885 Sunnybrook Drive, Suite L-200, Sioux City, IA 51106 | 2006-02-15 |
| 1114234895 | Glynne Edwards | Internal Medicine | 801 5th St, Suite 201, Sioux City, IA 51101-1326 | 2010-09-02 |
| 1437328556 | Stilianos Efstratiadis | Internal Medicine | 801 5th St, Sioux City, IA 51101-1326 | 2008-02-22 |
| 1164545505 | Roque Bernardo Arteaga | Internal Medicine | 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106-4203 | 2007-04-09 |
| 1679592828 | Frank A Addo | Internal Medicine | 801 5th St, Suite 201, Sioux City, IA 51101-1326 | 2006-07-19 |
| 1538188057 | Thong Quoc Pham | Internal Medicine | 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106-4203 | 2006-07-18 |
| 1093763567 | Joy L Taylor | Internal Medicine | 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106-4203 | 2006-05-05 |
| 1154395937 | William R Wanner | Internal Medicine | 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106-4203 | 2006-02-16 |
| 1790759512 | Deborah A Majerus | Internal Medicine | 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106-4203 | 2006-02-16 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51101 |
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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.