DR. GHOMATHY SIVARAM (NPI# 1831683739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831683739 |
| Entity Type | Individual |
| Full Name | DR. GHOMATHY SIVARAM |
| Credential | MD |
| Practice Address |
1800 S Swope Dr Independence MO 64057-1084 |
| Mailing Address |
3407 Suffolk Downs Stow OH 44224-5817 |
| Practice Telephone | 3303894210 |
| Mailing Telephone | 3303894210 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2017042961 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1800 S SWOPE DR |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992792923 | Regency Care Center of Independence, L.c. | Skilled Nursing Facility | 1800 S Swope Dr, Independence, MO 64057-1084 | 2005-10-04 |
| 1740728492 | Nursing & Rehab At Independence LLC | Skilled Nursing Facility | 1800 S Swope Dr, Independence, MO 64057-1084 | 2017-02-02 |
| 1285025833 | Marti Jones | Speech-Language Pathologist | 1800 S Swope Dr, Independence, MO 64057-1084 | 2015-02-17 |
| 1912396904 | Kate Garofalo | Physical Therapy Assistant | 1800 S Swope Dr, Independence, MO 64057-1084 | 2015-01-14 |
| 1225426497 | Krystle Seigler | Occupational Therapist | 1800 S Swope Dr, Independence, MO 64057-1084 | 2014-12-22 |
| 1659779833 | Kyla Griffitt | Physical Therapy Assistant | 1800 S Swope Dr, Independence, MO 64057-1084 | 2014-12-19 |
| 1861890014 | Lisa Mermis | Occupational Therapy Assistant | 1800 S Swope Dr, Independence, MO 64057-1084 | 2014-12-19 |
| 1568860740 | Mitzi Pearce | Physical Therapy Assistant | 1800 S Swope Dr, Independence, MO 64057-1084 | 2014-12-19 |
| 1093073009 | Jacqueline Voss | Speech-Language Pathologist | 1800 S Swope Dr, Independence, MO 64057-1084 | 2012-04-26 |
| 1336212844 | The Rehabilitation Center of Independence, LLC | Skilled Nursing Facility | 1800 S Swope Dr, Independence, MO 64057-1084 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1184269532 | Simon Kinuthia | Family Medicine | 4911 S Arrowhead Dr Ste 200, Independence, MO 64055-7008 | 2019-11-08 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1831447317 | Ann Finkenbinder Goerz | Family Medicine | 4336 S Dover Ave, Independence, MO 64055-4834 | 2012-08-15 |
| 1871896035 | Donald A. Potts | Family Medicine | 17611 E Us Highway 24, Suite 103, Independence, MO 64056-1853 | 2010-12-09 |
| 1508018128 | Allison Louise Medlin | Family Medicine | 300 N Osage St, Suite 200, Independence, MO 64050-2705 | 2008-10-14 |
| 1184898439 | Colleen Elizabeth Clayton | Family Medicine | 6701 Rockside Rd Ste 260, Independence, OH 44131-2351 | 2008-04-17 |
| 1467624403 | Premier Health Clinic | Family Medicine | 6900 Granger Rd, #203, Independence, OH 44131-1414 | 2008-03-31 |
| 1760650352 | Independence Family Practice Clinic, LLC | Family Medicine | 6571 Brecksville Road, Suite #1, Independence, OH 44131 | 2008-02-15 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1992871883 | Stephen Ervin Dorsch | Family Medicine | 1638 W 24 Hwy, Independence, MO 64050 | 2006-11-24 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.